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

Mrs. Kaitlin Vidafar

Individual provider Specialist · NPI 1417385675

Mrs. Kaitlin Vidafar is a Specialist in Melville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

538 New York 110 #202
Melville, NY 11174
Phone: (631) 385-7780

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1076159 (NY)

Record details

NPI number1417385675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2013
Last updated in NPPESDecember 11, 2013

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