Healthcare Provider Details

I. General information

NPI: 1235859877
Provider Name (Legal Business Name): ADAMA I SESAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADAMA I CONTEH

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 MAIN ST
BUFFALO NY
14214-2449
US

IV. Provider business mailing address

82 ALTRURIA ST
BUFFALO NY
14220-1802
US

V. Phone/Fax

Practice location:
  • Phone: 716-200-4122
  • Fax: 716-783-8825
Mailing address:
  • Phone: 716-348-6143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF349114
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: