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Provider Information for 1215270228


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Ms. ATASHA CODGINTON


Sex: Female

NPI: 1215270228
Last Updated: 2024-01-16
Certification Date: 2024-01-16

Details

NameValue
NPI1215270228
Enumeration Date2013-03-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 350 STERLING ST
APT 6C
BROOKLYN, NY 11225-4256
United States

Phone: 917-667-2406 | Fax:
 
Primary Practice Address 350 STERLING ST
APT 6C
BROOKLYN, NY 11225-4256
United States

Phone: 973-738-2569 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 174400000X - Specialist NJ696406
Yes 101YM0800X - Counselor - Mental HealthNY014105