Individual
MARIANNA VIDIMSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(718) 436-7600
(718) 972-9258
Mailing address
3131 KINGS HWAY, BROOKLYN, NY 11234-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
07/08/2015
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