Provider Demographics
NPI:1497575385
Name:QUILES, ALIYAH MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:ALIYAH
Middle Name:MARIE
Last Name:QUILES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 E 17TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3561
Mailing Address - Country:US
Mailing Address - Phone:646-470-4174
Mailing Address - Fax:
Practice Address - Street 1:2546 E 17TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3561
Practice Address - Country:US
Practice Address - Phone:646-470-4174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122581104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker