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NPI Code Detail

MEDICARE: CARLOS ENRIQUE PADRON LP

MEDICARE: CARLOS ENRIQUE PADRON LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1102L00000XPsychoanalyst000936NY

General Provider Information

NPI Number : 1144687369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS ENRIQUE PADRON LP
Provider Business Mailing Address
First Line : 145 W 15TH ST FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10011-6701
Country : US
Telephone Number : 212-924-6320
Fax Number :
Provider Business Practice Location Address
First Line : 28 DEBEVOISE ST STE 5
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4194
Country : US
Telephone Number : 718-963-4430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2016
Last Update Date : 01/19/2016

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Directions to “ CARLOS ENRIQUE PADRON LP” Practice Location

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