Provider Demographics
NPI:1770177297
Name:CURRITHERS, DAVION ALPHANSO
Entity type:Individual
Prefix:MR
First Name:DAVION
Middle Name:ALPHANSO
Last Name:CURRITHERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1983 PRICE ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4236
Mailing Address - Country:US
Mailing Address - Phone:347-608-5986
Mailing Address - Fax:
Practice Address - Street 1:21 W 111TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-4328
Practice Address - Country:US
Practice Address - Phone:212-289-3249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111975104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker