Individual
ANDREA M VACCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2400 MARION AVE, ROOM 105, BRONX, NY 10458-7455
(718) 584-9615
(718) 584-5586
Mailing address
165 PINEHURST AVE, #1E, NEW YORK, NY 10033-1809
(917) 687-2338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075204
NY
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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