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

TaxonomyCodeLicense
Specialist Primary 174400000X858408 (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.