Individual
DR. ALEX VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1916 UNION BLVD., DEPARTMENT OF CARDIOLOGY, BAYSHORE, NY 11706
(631) 666-2290
Mailing address
1916 UNION BLVD., DEPARTMENT OF CARDIOLOGY, BAYSHORE, NY 11706
(631) 666-2290
(631) 647-8068
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
252831
NY
207RC0000X
Cardiovascular Disease Physician
Primary
252831
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
252831
NY
207RH0005X
Hypertension Specialist Physician
252831
NY
207UN0902X
Nuclear Imaging & Therapy Physician
252831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03112470
—
NY
01
—
1336361385
NPI
NY
Enumeration date
05/02/2007
Last updated
05/08/2024
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