DAEVON EALEY CRPA-P
NPI 1043054455
Peer Specialist in New York, NY
- Individual
- Male
- Peer Specialist
About DAEVON EALEY
This page provides the complete NPI Profile along with additional information for Daevon Ealey, a provider established in New York, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1043054455 assigned on June 2024. The practitioner's primary taxonomy code is 175T00000X with license number CRPA-P-7065 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1043054455 Verify this NPI
- Provider Name
- DAEVON EALEY CRPA-P
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 248 W 108TH ST FL 2 NEW YORK, NY 10025
- Location Phone
- (212) 663-3000
- Mailing Address
- 248 W 108TH ST FL 2 NEW YORK, NY 10025
- Mailing Phone
- (212) 663-3000
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-20-2024
- Last Update Date
- 06-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- CRPA-P-7065
- License State
- NY
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
NEW YORK, NY 10025
NEW YORK, NY 10025
NEW YORK, NY 10025
NEW YORK, NY 10025
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043054455, enumerated as an "individual" on June 20, 2024.
The provider is located at 248 W 108TH ST FL 2 NEW YORK, NY 10025 and the phone number is (212) 663-3000.
Peer Specialist with taxonomy code 175T00000X.