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Individual

AIMEE C VIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
Mailing address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334589
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03127337
NY
Enumeration date
07/17/2006
Last updated
03/26/2015
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