Healthcare Provider Details

I. General information

NPI: 1679622914
Provider Name (Legal Business Name): LAMIN CEESAY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 11/05/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111E 210 STREET MONTEFIORE MEDICAL CENTER
BRONX NY
10467
US

IV. Provider business mailing address

111E 210 STREET MONTEFIORE MEDICAL CENTER
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-5731
  • Fax:
Mailing address:
  • Phone: 718-920-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number479782-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: