Provider Demographics
NPI:1649545153
Name:CODNER-WALKER, SHARON ELIZABETH (CLINICAL CHAPLAIN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ELIZABETH
Last Name:CODNER-WALKER
Suffix:
Gender:F
Credentials:CLINICAL CHAPLAIN
Other - Prefix:
Other - First Name:REVEREND SHARON
Other - Middle Name:
Other - Last Name:CODNER-WALKER PASTOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2035 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4712
Mailing Address - Country:US
Mailing Address - Phone:347-675-7354
Mailing Address - Fax:
Practice Address - Street 1:2035 E 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4712
Practice Address - Country:US
Practice Address - Phone:347-675-7354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker