Provider Demographics
NPI:1851951172
Name:RODNEY-CHAMBERS, KAMEIKA STACY-ANN
Entity Type:Individual
Prefix:
First Name:KAMEIKA
Middle Name:STACY-ANN
Last Name:RODNEY-CHAMBERS
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 1:60 GRENADA AVE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-1121
Mailing Address - Country:US
Mailing Address - Phone:347-208-2879
Mailing Address - Fax:
Practice Address - Street 1:60 GRENADA AVE
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:NY
Practice Address - Zip Code:11575-1121
Practice Address - Country:US
Practice Address - Phone:347-208-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant