Individual
CARMEN E. VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61-06 METROPOLITAN AVE., RIDGEWOOD, NY 11385
(347) 623-2948
Mailing address
61-06 METROPOLITAN AVE., RIDGEWOOD, NY 11385
(347) 623-2948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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