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Individual

DR. JENNIFER J PADRONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1025 NORTHERN BLVD, SUITE 100, ROSLYN, NY 11576-1506
(516) 375-4176
Mailing address
1025 NORTHERN BLVD, SUITE 100, ROSLYN, NY 11576-1506
(516) 375-4176

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015127
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
552681
VALUE OPTIONS
NY
01
P3624355
OXFORD
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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