Provider Demographics
NPI:1851127047
Name:CHRISTOPHER, TINIKA (MPH,IBCLC)
Entity type:Individual
Prefix:
First Name:TINIKA
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MPH,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 CONCOURSE VLG E APT 19A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3927
Mailing Address - Country:US
Mailing Address - Phone:917-703-5404
Mailing Address - Fax:
Practice Address - Street 1:773 CONCOURSE VLG E APT 19A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3927
Practice Address - Country:US
Practice Address - Phone:917-703-5404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL-311222174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN