Individual provider · Type 1 NPI

Lisa Vides

Specialist · Oceanside, NY

NPI number 1386572923 Active

Practice location

2957 Roxbury Rd
Oceanside, NY 11572-3216

Call (516) 993-1696 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386572923

Lisa Vides's National Provider Identifier is 1386572923, issued on May 13, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oceanside, NY. The record was last updated on May 13, 2026.