JAKE VIDAL

MELVILLE, NY
NPI1932839271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2022-06-10
Last Update Date2022-06-10
Business Address
JAKE VIDAL
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Mailing Address
JAKE VIDAL
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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