Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariely Vidal, BA

Individual provider Case Manager/Care Coordinator · NPI 1003203746

Mariely Vidal, BA is a Case Manager/Care Coordinator in Fresh Meadows, New York. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

16211 76th Ave
Fresh Meadows, NY 11366-1133
Phone: (917) 806-1579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1003203746
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 21, 2015
Mailing address16211 76th Ave, Fresh Meadows, NY 11366-1133

Other providers in Fresh Meadows