Individual
SHIVON DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COZINE AVE APT 1J, BROOKLYN, NY 11207-9239
(134) 774-4819
Mailing address
400 COZINE AVE APT 1J, BROOKLYN, NY 11207-9239
(134) 774-4819
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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