Individual
KEVIN HUGH PADBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
Mailing address
6 NORTHRIDGE CIR, HUNTINGTON, NY 11743-5366
(631) 367-1933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400480
NY
Other
Enumeration date
08/09/2006
Last updated
09/03/2008
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