Individual
MS. SHAVON EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
25-29 AVENUE D, NEW YORK, NY 10009
(646) 395-4064
Mailing address
25-29 AVENUE D, NEW YORK, NY 10009
(646) 395-4400
(212) 479-9585
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5567
NY
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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