Provider Demographics
NPI:1568239689
Name:HARDEEN, PADMINI DEVI (PNP-PC)
Entity Type:Individual
Prefix:MS
First Name:PADMINI
Middle Name:DEVI
Last Name:HARDEEN
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4116
Mailing Address - Country:US
Mailing Address - Phone:516-849-9440
Mailing Address - Fax:
Practice Address - Street 1:2042 BYRON AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4116
Practice Address - Country:US
Practice Address - Phone:516-849-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383587363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics