MEDICARE: ASALEEKA WHYTE-REYES LMSW

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	115890	NY

General Provider Information

NPI Number	:	1750162327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASALEEKA WHYTE-REYES LMSW

Provider Business Mailing Address
First Line	:	1469 LEXINGTON AVE APT 24
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2527
Country	:	US
Telephone Number	:	917-887-6928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1469 LEXINGTON AVE APT 24
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-2527
Country	:	US
Telephone Number	:	917-887-6928
Fax Number	:

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

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	10/10/2023

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Directions to “ ASALEEKA WHYTE-REYES LMSW” Practice Location

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