Individual
JOAN PADOUVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3016 30TH DRIVE, ASTORIA, NY 11102-1874
(718) 626-0707
(718) 545-0333
Mailing address
13777 45TH AVE, APT. 2K, FLUSHING, NY 11355-4069
(718) 626-0707
(718) 545-0333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
157312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00894477
—
NY
Enumeration date
01/26/2006
Last updated
06/27/2008
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