Provider Demographics
NPI:1841732195
Name:MIGDALIA MARIA PADILLA, MS, PT, P.C.
Entity type:Organization
Organization Name:MIGDALIA MARIA PADILLA, MS, PT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-304-1995
Mailing Address - Street 1:3441 85TH ST
Mailing Address - Street 2:APT. 2P
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3200
Mailing Address - Country:US
Mailing Address - Phone:718-424-3795
Mailing Address - Fax:718-424-3795
Practice Address - Street 1:3441 85TH ST
Practice Address - Street 2:APT. 2P
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3200
Practice Address - Country:US
Practice Address - Phone:718-424-3795
Practice Address - Fax:718-424-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22499252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency