Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Selwyn Maurice Vickers, MD

Individual provider Surgery Physician · NPI 1215964754

Dr. Selwyn Maurice Vickers, MD is a Surgery Physician in New York, New York. Licensed in Alabama and Minnesota. Registered with an NPI since 2006.

Licensed in
AL, MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave Ste M-110
New York, NY 10065-6007
Phone: (212) 639-6561
Fax: (212) 717-3299
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 18186 (AL)
Surgery Physician Taxonomy 208600000X · Licence 49253 (MN)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 18186 (AL)

Record details

NPI number1215964754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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