Individual provider · Type 1 NPI

Ejazz Salley

Peer Specialist · Brooklyn, NY

NPI number 1760302004 Active

Practice location

1715 E 13th St
Brooklyn, NY 11229-1901

Call (347) 563-1197 Map

Mailing address

900 Eastern Pkwy Apt 9
Brooklyn, NY 11213-3605

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1760302004

Ejazz Salley's National Provider Identifier is 1760302004, issued on Jul 17, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 17, 2026.