Organization
WILLIAM C. PADULA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM COSMO PADULA MEDICAL DOCTOR (M.D. PRESIDENT)
(631) 789-2020
Entity
Organization
Contact information
Practice address
5240 MERRICK RD, SUITE #2, MASSAPEQUA, NY 11758-6207
(516) 798-2200
(516) 798-3242
Mailing address
5240 MERRICK RD, SUITE #2, MASSAPEQUA, NY 11758-6207
(516) 798-2200
(516) 798-3242
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429263
—
NY
01
—
1205949518
NPI
NY
Enumeration date
07/31/2009
Last updated
03/07/2023
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