Individual
MS. TANISHA LUMPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
25 ELM PL FL 6, BROOKLYN, NY 11201-5826
(718) 852-5212
(718) 285-8610
Mailing address
25 FLATBUSH AVE STE 3, BROOKLYN, NY 11217-2499
(718) 852-2584
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-3121
NY
Other
Enumeration date
08/08/2019
Last updated
03/01/2022
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