Individual
JEVAUN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(718) 653-1537
(718) 228-6993
Mailing address
1652 TROY AVE, BROOKLYN, NY 11234-1425
(646) 210-2014
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
8745
NY
Other
Enumeration date
08/23/2022
Last updated
06/16/2025
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