Provider Demographics
NPI:1295032621
Name:PADRON, ANGEL (MS ED SPECIAL ED)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:
Last Name:PADRON
Suffix:
Gender:F
Credentials:MS ED SPECIAL ED
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED SPECIAL ED
Mailing Address - Street 1:12 BLUEBERRY CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4223
Mailing Address - Country:US
Mailing Address - Phone:917-603-9337
Mailing Address - Fax:
Practice Address - Street 1:12 BLUEBERRY CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4223
Practice Address - Country:US
Practice Address - Phone:917-603-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No251B00000XAgenciesCase Management