Provider Demographics
NPI:1851099303
Name:SESAY, ALPHA BRIMA
Entity Type:Individual
Prefix:
First Name:ALPHA
Middle Name:BRIMA
Last Name:SESAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 POLO DR W
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-9404
Mailing Address - Country:US
Mailing Address - Phone:508-663-6788
Mailing Address - Fax:
Practice Address - Street 1:6203 POLO DR W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-9404
Practice Address - Country:US
Practice Address - Phone:508-663-6788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide