# WILLIAM C. PADULA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558592147
- **Authorized official:** DR. WILLIAM COSMO PADULA MEDICAL DOCTOR (M.D. PRESIDENT)
- **Authorized official phone:** (631) 789-2020

## Contact information

- **Practice address:** 5240 MERRICK RD, SUITE \#2, MASSAPEQUA, NY 11758-6207
- **Practice address phone:** (516) 798-2200
- **Practice address fax:** (516) 798-3242
- **Mailing address:** 5240 MERRICK RD, SUITE \#2, MASSAPEQUA, NY 11758-6207
- **Mailing address phone:** (516) 798-2200
- **Mailing address fax:** (516) 798-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2009
- **Last updated:** 03/07/2023