Padilla, Debra Grace

Padilla, Debra Grace is an sole proprietor health care provider with primary practice located at 355 Pin Oak Ln , Westbury NY 11590-1941. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Padilla, Debra Grace can be contacted via phone (516) 414-2610.

Contact Information

Primary practice address
355 Pin Oak Ln Westbury NY 11590-1941
Phone: (516) 414-2610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 00254216 New York

Profile Details

NPI number 1922219195
LBN Legal business name Padilla, Debra Grace
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922219195 NPPES
New York MEDICAID 02419616

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