MEDICARE: MR. WILLIAM MCPADDEN

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	183500000X	Pharmacist	048505	NY

General Provider Information

NPI Number	:	1336463967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM MCPADDEN

Provider Business Mailing Address
First Line	:	15 CANTERBURY DR
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-3314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6203
Country	:	US
Telephone Number	:	212-877-3480
Fax Number	:

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

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	03/25/2010

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Directions to “ MR. WILLIAM MCPADDEN ” Practice Location

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