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

EBONY DERAVARIERE

Active

EBONY DERAVARIERE is a Peer Specialist healthcare provider located in SCHENECTADY, New York. NPI 1669271029 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · SCHENECTADY, NY

Registration Details

NPI Number
1669271029
Provider Type
Individual
Gender
Female
NPI Issued
Mar 10, 2025 (1.2873631189576 yrs)
Last Updated
Mar 3, 2026
License
8552-P (NY)

Practice Information

Address
600 FRANKLIN ST STE 204
SCHENECTADY, NY, 123052107
Browse NY providers · Browse ZIP 12305
Phone
5183727031
Fax
5183727064
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in SCHENECTADY, NY

Name Credential NPI
JESSICA WAKEFIELD 1659987790
STEPHANIE L SHULGAY 1407512452
JUSTIN A JACKSON 1962246629
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.