Individual
AUDREY ZWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 JAVA ST, SUITE 110, BROOKLYN, NY 11222-5424
(917) 322-9485
Mailing address
252 JAVA ST, SUITE 110, BROOKLYN, NY 11222-5424
(917) 322-9485
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
AGENCY MEDICARE
NY
Enumeration date
06/13/2011
Last updated
02/21/2017
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