MEDICARE: ALIYAH VINIKOOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1841549672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYAH VINIKOOR

Provider Business Mailing Address
First Line	:	6250 39TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7416
Country	:	US
Telephone Number	:	646-245-1592
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 NE 65TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7097
Country	:	US
Telephone Number	:	425-272-5387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	12/10/2022

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Directions to “ ALIYAH VINIKOOR ” Practice Location

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