Provider Demographics
NPI:1750711990
Name:MONDAY, CHIMA
Entity type:Individual
Prefix:
First Name:CHIMA
Middle Name:
Last Name:MONDAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2165 RYER AVE
Mailing Address - Street 2:APT 2B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2134
Mailing Address - Country:US
Mailing Address - Phone:646-938-7611
Mailing Address - Fax:
Practice Address - Street 1:2510 WESTCHESTER AVE SUIT 102
Practice Address - Street 2:THERACARE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-597-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator