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Contact Information

SHAVON BOSTON
21535 MURDOCK AVE
QUEENS VILLAGE, NY11429-2639
 Phone: 718-915-0280
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for SHAVON BOSTON · (Female)

NPI Number 1548025976
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2024
Last updated 02/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 1230976731
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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