MEDICARE: CARINNA PADRO

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
1	163W00000X	Registered Nurse	5814021	NY
2	363LF0000X	Family Nurse Practitioner	356386	NY

General Provider Information

NPI Number	:	1467130559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARINNA PADRO

Provider Business Mailing Address
First Line	:	3333 HENRY HUDSON PKWY APT 17F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3260
Country	:	US
Telephone Number	:	917-400-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 HENRY HUDSON PKWY APT 17F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3260
Country	:	US
Telephone Number	:	917-400-9404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	03/04/2026

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Directions to “ CARINNA PADRO ” Practice Location

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