Individual
SHANIEKA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 E 223RD ST, BRONX, NY 10466-4602
(646) 225-0199
Mailing address
912 E 223RD ST, BRONX, NY 10466-4602
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
172V00000X
NY
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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