DIVINE PADILLA PT PC
Agencies at Imperial Ave, New Hyde Park, NY

License number
New York 027946
Category
Agencies
Type
Early Intervention Provider Agency
Owner
Name: DIVINE GRACE PADILLA PT
Title: PRESIDENT
Phone: (718) 310-0892
Address
Address
1501 Imperial Ave, New Hyde Park, NY 11040
National Provider ID: 1578837654
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVINE PADILLA PT PC

1501 Imperial Ave, New Hyde Park, NY 11040

Industry:
Health Practitioner's Office, Nonclassifiable Establishments
Registration:
Feb 13, 2012
State ID:
4201735
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Partner, Presidents:
Divine Padilla, 1501 Imperial Ave, New Hyde Park, NY 11040 (Physical),Divine Grace Meer Padi (Partner, President)

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