Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Deravariere

Individual provider Peer Specialist · NPI 1669271029

Ebony Deravariere is a Peer Specialist in Schenectady, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

600 Franklin St Ste 204
Schenectady, NY 12305-2107
Phone: (518) 372-7031
Fax: (518) 372-7064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 8552-P (NY)

Record details

NPI number1669271029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address1116 Pleasant St, Schenectady, NY 12303-1714

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