Individual provider · Type 1 NPI
Kimberly Vicari
Specialist · Bayside, NY
NPI number
1679902399
Active
Practice location
21140 18th Ave, Apt 5D
Bayside, NY 11360-1534
Mailing address
16 Netz Pl
Albertson, NY 11507-1412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 858408 (NY) |
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 1679902399
Kimberly Vicari's National Provider Identifier is 1679902399, issued on Nov 4, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bayside, NY. The record was last updated on Oct 21, 2026.