Individual
LAURA PADUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
373 NESCONSET HWY, SUITE 243, HAUPPAUGE, NY 11788-2516
(631) 605-2525
(631) 761-6224
Mailing address
228 ATLANTIC PL, HAUPPAUGE, NY 11788-4439
(631) 605-2525
(631) 761-6224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03869041
—
NY
01
—
A100082692
PTAN
—
Enumeration date
01/16/2007
Last updated
08/06/2016
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