Padouvas, Joan
Padouvas, Joan is an individual health care provider with primary practice located at 3016 30Th Drive , Astoria NY 11102-1874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Padouvas, Joan can be contacted via phone (718) 626-0707.Contact Information
Primary practice address
3016 30Th Drive
Astoria NY 11102-1874
Phone: (718) 626-0707
Fax: (718) 545-0333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 157312 | New York |
Profile Details
| NPI number | 1174593610 |
|---|---|
| LBN Legal business name | Padouvas, Joan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174593610 | NPPES |
| New York | MEDICAID | 00894477 |
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