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NPI Code Detail

MEDICARE: SUMMER KRYSTIN PADILLA

MEDICARE: SUMMER KRYSTIN 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 Program

General Provider Information

NPI Number : 1619846334
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER KRYSTIN PADILLA
Provider Business Mailing Address
First Line : 153 PARK HILL AVE APT 4A
Second Line :
City : YONKERS
State : NY
Zip : 10705-1425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 BEDFORD PARK BLVD W
Second Line :
City : BRONX
State : NY
Zip : 10468-1527
Country : US
Telephone Number : 718-960-5544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2025
Last Update Date : 11/07/2025

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Directions to “ SUMMER KRYSTIN PADILLA ” Practice Location

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