Provider Demographics
NPI:1083911457
Name:SESAY, ADAMA DEEN (LPN)
Entity Type:Individual
Prefix:MS
First Name:ADAMA
Middle Name:DEEN
Last Name:SESAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 PROSPECT AVE
Mailing Address - Street 2:APT. 2D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2226
Mailing Address - Country:US
Mailing Address - Phone:347-202-9419
Mailing Address - Fax:
Practice Address - Street 1:1451 PROSPECT AVE
Practice Address - Street 2:APT. 2D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2226
Practice Address - Country:US
Practice Address - Phone:347-202-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304684-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse