Individual provider · Type 1 NPI
Regan Calabro Vidiksis
Specialist · New York, NY
NPI number
1689938102
Active
Practice location
171 Madison Ave, Fifth Floor
New York, NY 10016-5110
Mailing address
31 Ocean Pkwy, Apt 2N
Brooklyn, NY 11218-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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 1689938102
Regan Calabro Vidiksis's National Provider Identifier is 1689938102, issued on Jun 28, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jun 28, 2012.