Individual
PADMA BHUDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 JERICHO TPKE STE 120W, SYOSSET, NY 11791-4445
(516) 806-9108
Mailing address
6800 JERICHO TPKE STE 120W, SYOSSET, NY 11791-4445
(516) 614-7179
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
03/25/2021
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