Individual
DAEVON EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
248 W 108TH ST FL 2, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST FL 2, NEW YORK, NY 10025-2956
(212) 663-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-7065
NY
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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