Provider Demographics
NPI:1205079035
Name:SESAY, ALPHA (LPN)
Entity type:Individual
Prefix:MR
First Name:ALPHA
Middle Name:
Last Name:SESAY
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 7 AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-0000
Mailing Address - Country:US
Mailing Address - Phone:347-220-4244
Mailing Address - Fax:
Practice Address - Street 1:2010 7TH AVE
Practice Address - Street 2:APT. 2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-0000
Practice Address - Country:US
Practice Address - Phone:347-220-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296724-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse