Mariely Vidal BA

NPI 1003203746 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1003203746
Gender Female
Enumeration Date 04/21/2015
Last Updated 04/21/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
16211 76TH AVE
FRESH MEADOWS NY, 11366-1133, US
Phone (917) 806-1579
Fax
Business Location
16211 76TH AVE
FRESH MEADOWS NY, 11366-1133, US
Phone (917) 806-1579
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mariely Vidal BA NPI is 1003203746, taxonomy code is 171M00000X Mariely Vidal BA physically located at 16211 76th Ave, Fresh Meadows NY, 11366-1133. NPI Number Mariely Vidal BA has the Individual type.

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1003203746 NPI number is provided on an as is basis without warranty of any kind. 1003203746 is maintained by the National Plan & Provider Enumeration System. The contents of Mariely Vidal BA are for informational purposes only.