Healthcare Provider Details

I. General information

NPI: 1437704657
Provider Name (Legal Business Name): BRIANA VANSLYCK LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAPLE HILL ST
YORKTOWN HEIGHTS NY
10598-4176
US

IV. Provider business mailing address

218 WATERS EDGE
VALLEY COTTAGE NY
10989-1707
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-5101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: