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MARIELY VIDAL BA
NPI 1003203746
Case Manager/Care Coordinator in Fresh Meadows, NY

Active since April 21, 2015
16211 76TH AVE, FRESH MEADOWS, NY 11366(917) 806-1579 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariely Vidal Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELY VIDAL BA (NPI 1003203746) is an individual case manager/care coordinator provider in Fresh Meadows, New York and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1003203746
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMARIELY VIDALCredential: BA
Location Address16211 76TH AVEFresh Meadows, NY 11366-1133
Mailing Address16211 76th AveFresh Meadows, NY 11366-1133 · (917) 806-1579
Phone(917) 806-1579
Sole ProprietorYes
Enumeration DateApril 21, 2015
✔ NPI 1003203746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
16211 76TH AVE, Fresh Meadows, NY 11366
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariely Vidal's NPI number?

The NPI number for Mariely Vidal is 1003203746. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Mariely Vidal located?

Mariely Vidal practices at 16211 76th Ave, Fresh Meadows, NY 11366. The listed phone number is (917) 806-1579.

What is Mariely Vidal's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mariely Vidal was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.