Provider Demographics
NPI:1235151101
Name:PADRE, CINDY VALERIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:VALERIE
Last Name:PADRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2028
Mailing Address - Country:US
Mailing Address - Phone:845-735-4814
Mailing Address - Fax:845-735-4815
Practice Address - Street 1:200 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2028
Practice Address - Country:US
Practice Address - Phone:845-735-4814
Practice Address - Fax:845-735-4815
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234756208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBP9059684OtherDEA NUMBER