Individual
DR. VELLORE T PADMANABHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOLLOW LN, SUITE 312, NEW HYDE PARK, NY 11042-1215
(516) 684-1220
(516) 487-0576
Mailing address
1 TOMS POINT LN, BLDG 3 APT 5H, PORT WASHINGTON, NY 11050-2101
(516) 684-1220
(516) 487-0576
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
111481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734203
—
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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