Individual
JORGE LUIS PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9522 37TH AVE, JACKSON HEIGHTS, NY 11372-8020
(718) 429-2020
(718) 429-2300
Mailing address
9522 37TH AVE, JACKSON HEIGHTS, NY 11372-8020
(718) 429-2020
(718) 429-2300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
005844
NY
152W00000X
Optometrist
Primary
006568
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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