Individual
SHAMIKA BRODNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 7TH AVE, NEW YORK, NY 10027-4990
(212) 633-9300
Mailing address
11988 130TH ST, SOUTH OZONE PARK, NY 11420-2943
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
P89637
NY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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