Individual
DR. ANDREA VIDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WOODBURY RD, SUITE G, WOODBURY, NY 11797-2503
(516) 584-8710
(516) 584-8711
Mailing address
800 WOODBURY RD, SUITE G, WOODBURY, NY 11797-2503
(516) 584-8710
(516) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
195356-1
NY
207VE0102X
Reproductive Endocrinology Physician
615527
NJ
Other
Enumeration date
10/19/2006
Last updated
05/04/2016
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