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1962412205
KEVIN HUGH PADBERG
FARMINGVILLE, NY
NPI
1962412205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400480)
Enumeration Date
2006-08-09
Last Update Date
2008-09-03
Business Address
-- KEVIN HUGH PADBERG NP
15 HORSEBLOCK PL
FARMINGVILLE, NY 11738-1204
Phone number: 631-854-2552
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Mailing Address
-- KEVIN HUGH PADBERG NP
6 NORTHRIDGE CIR
HUNTINGTON, NY 11743-5366
Phone number: 631-367-1933
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