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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAVON BOSTON

Active Sole Proprietor

SHAVON BOSTON is a Health & Wellness Coach healthcare provider located in QUEENS VILLAGE, New York. NPI 1548025976 is currently active in the NPPES registry. Verify at CMS.

Health & Wellness Coach · QUEENS VILLAGE, NY

Registration Details

NPI Number
1548025976
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2024 (2.5286191123135 yrs)
Last Updated
Feb 15, 2024
License
1230976731 (NY)
Sole Proprietor
Yes

Practice Information

Address
21535 MURDOCK AVE
QUEENS VILLAGE, NY, 114292639
Browse NY providers · Browse ZIP 11429
Phone
7189150280
Primary Specialty
Health & Wellness Coach
171400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.