STEPHANIE VIDAL

JAMAICA, NY
NPI1548989494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
STEPHANIE VIDAL
8000 UTOPIA PKWY
JAMAICA, NY 11439-9000
Phone number: 718-990-6850
Mailing Address
STEPHANIE VIDAL
8000 UTOPIA PKWY
JAMAICA, NY 11439-9000
Phone number: