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Jkuan Liverpool

Peer Specialist in Bronx, NY. Individual provider (NPI-1).

NPI number1053227702
StatusActive
Last updated in NPPESAug 21, 2026

Details

NPI
1053227702
Entity type
Individual (NPI-1)
Name
Jkuan Liverpool
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2026
Certification date
Aug 21, 2026
Last updated
Aug 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist9224NYYes

Practice location

760 E 160th St Fl 2
Bronx, NY 10456-7898

Phone 929-761-2559

Mailing address

760 E 160th St Fl 2
Bronx, NY 10456-7898

Phone 929-761-2559

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