Most Relevant Information
Provider Data
| NPI Number: | 1003306275 |
| Provider Name: | ASIYA VICKERS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 108769-01 |
Most Important Dates
| Enumeration Date: | 05/14/2018 |
| Last Updated: | 01/15/2020 |
Provider Practice Location
800 POLY PL
BROOKLYN
NY
11209
Practice Location Phone/Fax
| Phone: | 7188366600 |
| Fax: |
Provider Mailing Location
331 E 29TH ST APT 3D
NEW YORK
NY
100168334
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |