Individual
MRS. KINIKIA SHAKUR REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(718) 918-5000
Mailing address
48 COACH HOUSE CT, NEW WINDSOR, NY 12553-7284
(845) 480-6129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719685-1
NY
176B00000X
Midwife
Primary
F001974
NY
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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