Provider Demographics
NPI:1700533858
Name:VAZQUEZ-CAIN, TROY ALSTON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:ALSTON
Last Name:VAZQUEZ-CAIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 8TH AVE STE 802
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6783
Mailing Address - Country:US
Mailing Address - Phone:212-243-2830
Mailing Address - Fax:
Practice Address - Street 1:322 8TH AVE STE 802
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6783
Practice Address - Country:US
Practice Address - Phone:212-243-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092162-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical