Healthcare Provider Details

I. General information

NPI: 1700725439
Provider Name (Legal Business Name): GIFT LOCALLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 BROADWAY APT 4E
NEW YORK NY
10031-2514
US

IV. Provider business mailing address

3657 BROADWAY APT 4E
NEW YORK NY
10031-2514
US

V. Phone/Fax

Practice location:
  • Phone: 917-549-6882
  • Fax:
Mailing address:
  • Phone: 917-549-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: MS. BOO BOAFO
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 917-549-6882