Individual
ANDRES ULISES PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 JAVA ST, BROOKLYN, NY 11222-5424
(857) 891-9728
Mailing address
128 HILLSIDE ST, BOSTON, MA 02120-2973
(857) 891-9728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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