Provider Demographics
NPI:1831400217
Name:SESAY, HAJA SALAMATU
Entity type:Individual
Prefix:
First Name:HAJA
Middle Name:SALAMATU
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 1:10826 GUY R BREWER BLVD
Mailing Address - Street 2:2F
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-2816
Mailing Address - Country:US
Mailing Address - Phone:347-885-4609
Mailing Address - Fax:
Practice Address - Street 1:10826 GUY R BREWER BLVD
Practice Address - Street 2:2F
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-2816
Practice Address - Country:US
Practice Address - Phone:347-885-4609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293770164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY293770OtherLPN LICENSE