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NPI Code Detail

MEDICARE: NYREE PADILLA MD

MEDICARE: NYREE PADILLA MD
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
1207Q00000XFamily Medicine PhysicianD95826MD
2207Q00000XFamily Medicine Physician036141790IL
3207Q00000XFamily Medicine Physician145168CA
4207Q00000XFamily Medicine Physician25MA08504500NJ
5207Q00000XFamily Medicine Physician286464NY

General Provider Information

NPI Number : 1164676342
Entity Type Code : Individual
Provider Name (Legal Business Name) : NYREE PADILLA MD
Provider Business Mailing Address
First Line : 129 W 29TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10001-5105
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 7187 WOODMONT AVE
Second Line :
City : BETHESDA
State : MD
Zip : 20815-6208
Country : US
Telephone Number : 240-760-1947
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2008
Last Update Date : 03/14/2025

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Directions to “ NYREE PADILLA MD” Practice Location

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