Provider Demographics
NPI:1023409026
Name:PADILLA, YVETTE V (AP)
Entity type:Individual
Prefix:PROF
First Name:YVETTE
Middle Name:V
Last Name:PADILLA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:327 ORISKANY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-0429
Mailing Address - Country:US
Mailing Address - Phone:315-366-8117
Mailing Address - Fax:813-336-8507
Practice Address - Street 1:327 ORISKANY BOULEVARD
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:NY
Practice Address - Zip Code:13492-0429
Practice Address - Country:US
Practice Address - Phone:315-366-8117
Practice Address - Fax:813-336-8507
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006034-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist