Provider Demographics
NPI:1659532463
Name:SESAY, REGINA
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:SESAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 CORSA AVE
Mailing Address - Street 2:APT. # 4A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3477 CORSA AVE
Practice Address - Street 2:APT. # 4A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1904
Practice Address - Country:US
Practice Address - Phone:646-326-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272390-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse