Individual provider · Type 1 NPI
Eustace Edmead
Peer Specialist · South Richmond Hill, NY
NPI number
1972963973
Active
Practice location
97-20 Van Wyck Expwy Apt D5
South Richmond Hill, NY 11419
Mailing address
9720 Van Wyck Expy Apt D5
South Richmond Hill, NY 11419-2370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1972963973
Eustace Edmead's National Provider Identifier is 1972963973, issued on Mar 3, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in South Richmond Hill, NY. The record was last updated on Mar 3, 2016.