Provider Demographics
NPI:1417210741
Name:SESAY, ALUSINE MUSTAPHA (LPN)
Entity Type:Individual
Prefix:MR
First Name:ALUSINE
Middle Name:MUSTAPHA
Last Name:SESAY
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:MR
Other - First Name:ALUSINE
Other - Middle Name:MUSTAPHA
Other - Last Name:SESAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:6700 BELCREST RD
Mailing Address - Street 2:# 121
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1398
Mailing Address - Country:US
Mailing Address - Phone:240-280-4541
Mailing Address - Fax:
Practice Address - Street 1:6700 BELCREST RD
Practice Address - Street 2:# 121
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1398
Practice Address - Country:US
Practice Address - Phone:240-280-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1003533164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse