Mariely Vidal, BA
NPI #1003203746 in Fresh Meadows, New York
Provider Information
- NPI Number
- 1003203746
- Entity Type
- Individual
- Name
- Mariely Vidal, BA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- BA
- Enumeration Date
- Apr 21, 2015
- Last Updated
- Apr 21, 2015
Practice Location
- Address
- 16211 76TH AVE
- City
- Fresh Meadows
- State
- New York
- ZIP Code
- 11366-1133
- Phone
- (917) 806-1579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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