Provider Demographics
NPI:1174093041
Name:CODRINGTON, TEMIKA (RN)
Entity type:Individual
Prefix:
First Name:TEMIKA
Middle Name:
Last Name:CODRINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103-5 HONEYWELL AVE.
Mailing Address - Street 2:3N
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460
Mailing Address - Country:US
Mailing Address - Phone:646-591-5591
Mailing Address - Fax:
Practice Address - Street 1:2103-5 HONEYWELL AVE.
Practice Address - Street 2:3N
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460
Practice Address - Country:US
Practice Address - Phone:646-591-5591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7311111163W00000X
NY731111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse