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

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 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.