Individual
JULIA MATHEW PADIYEDATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 EXECUTIVE DR, STE 300, NEW WINDSOR, NY 12553-5509
(845) 562-0138
(845) 562-0147
Mailing address
310 E 14TH ST FL 2, NEW YORK, NY 10003-4201
(212) 505-6550
(212) 979-1772
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
266235
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2011
Last updated
08/25/2016
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