Organization
EBONI ET IVORIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI TRAVIS CD (OWNER)
(929) 464-5659
Entity
Organization
Contact information
Practice address
630 GRAMATAN AVE APT 1F, MOUNT VERNON, NY 10552-1826
(929) 464-5659
Mailing address
630 GRAMATAN AVE APT 1F, MOUNT VERNON, NY 10552-1826
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/13/2026
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