Provider Demographics
NPI:1922736909
Name:DAVIS, TAMEIKA ROCHELLE
Entity type:Individual
Prefix:
First Name:TAMEIKA
Middle Name:ROCHELLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 SHEEPSHEAD BAY ROAD
Mailing Address - Street 2:STE 580
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2412
Mailing Address - Country:US
Mailing Address - Phone:718-859-1600
Mailing Address - Fax:
Practice Address - Street 1:626 SHEEPSHEAD BAY ROAD
Practice Address - Street 2:STE 580
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2412
Practice Address - Country:US
Practice Address - Phone:718-859-1600
Practice Address - Fax:718-859-0524
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator