Individual
STEFANIE VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
815 BLOOMING GROVE TPKE STE 504, NEW WINDSOR, NY 12553-8134
(917) 684-6743
Mailing address
20 SHELDON DR, CORNWALL, NY 12518-1614
(917) 684-6743
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
7439
NY
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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