NPI 1003203746
Mariely Vidal, BA
Practice location
- Address
- 16211 76th Ave, Fresh Meadows, NY 11366-1133
- Phone
- (917) 806-1579
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003203746
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Apr 2015
- Record last updated
- 21 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.