Healthcare Provider Details

I. General information

NPI: 1841100062
Provider Name (Legal Business Name): WENDY PADOB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E 23RD ST APT 9N
NEW YORK NY
10010-4715
US

IV. Provider business mailing address

320 E 23RD ST APT 9N
NEW YORK NY
10010-4715
US

V. Phone/Fax

Practice location:
  • Phone: 212-614-0366
  • Fax: 212-994-9640
Mailing address:
  • Phone: 212-614-0366
  • Fax: 212-994-9640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: