Individual
AIESHA QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 W MERRICK RD, VALLEY STREAM, NY 11580-5701
(646) 481-8752
Mailing address
193 BROOKSIDE AVE, ROOSEVELT, NY 11575-1901
(646) 481-8752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087279
NY
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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