Individual
ASIYA VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209
(718) 836-6600
Mailing address
331 E 29TH ST APT 3D, NEW YORK, NY 10016-8334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108769-01
NY
Other
Enumeration date
05/14/2018
Last updated
01/15/2020
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