Individual
DR. ADRIENNE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5144
Mailing address
525 E 68TH ST RM F734, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125077854
IL
208600000X
Surgery Physician
Primary
125077854
NY
Other
Enumeration date
05/11/2021
Last updated
04/29/2024
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