Individual
MR. JOSEPH NICHOLAS VIDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
800 BUSHWICK AVE, BROOKLYN, NY 11221-3111
(646) 483-3595
Mailing address
6329 77TH PL, MIDDLE VILLAGE, NY 11379-1305
(646) 229-3016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63 016221
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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