NPI 1043054455

Daevon Ealey, CRPAP

Practitioner Peer Specialist New York, NY

Practice location

Address: 248 W 108th St Fl 2, New York, NY 10025-2956
Phone: (212) 663-3000

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CRPA-P-7065 (NY)

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Registry record

NPI: 1043054455
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2024
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.