Search › New York › 163W00000X
Shavon Innocent
NPI 1245830793 · on the registry since 2020
Practice
- Address
- 901 Washington Ave Apt 4j
Brooklyn, NY 11225 - Phone
- (929) 333-1024
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York