DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TISHA PADILLA

MEDICARE: TISHA PADILLA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1548111024
Entity Type Code : Individual
Provider Name (Legal Business Name) : TISHA PADILLA
Provider Business Mailing Address
First Line : 1529 DEKALB AVE APT 1L
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-3641
Country : US
Telephone Number : 929-296-6790
Fax Number :
Provider Business Practice Location Address
First Line : 310 SAINT NICHOLAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-6566
Country : US
Telephone Number : 929-296-6790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

Similar Medicare Providers

1225989890 — MARY DE LA CRUZ PEREZ
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 929-296-6790
Practice Fax:
1316899644 — FUAD AKINNIYI
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 929-296-6790
Practice Fax: 929-300-0280
1538010871 — DIANE TACURI
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 929-296-6790
Practice Fax: 929-300-0280
1396696076 — DAMARIS SANTIAGO
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 929-296-6790
Practice Fax:
1689525586 — MR. PIOTR GOLDA
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 929-296-6790
Practice Fax: 929-296-6790
1407624554 — KELLY PACHECO LMSW
Practice Location Address:
310 SAINT NICHOLAS AVE
BROOKLYN, NY
11237-6566
Practice Phone: 631-877-2879
Practice Fax:

Directions to “ TISHA PADILLA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.