Most Relevant Information
Provider Data
| NPI Number: | 1003005372 |
| Provider Name: | JESUEL PADRO-GUZMAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 266227 |
Most Important Dates
| Enumeration Date: | 10/23/2007 |
| Last Updated: | 04/05/2016 |
Provider Practice Location
525 E 68TH ST # F-16
BOX 142
NEW YORK
NY
100654870
Practice Location Phone/Fax
| Phone: | 2127461500 |
| Fax: |
Provider Mailing Location
525 E 68TH ST
BOX 142
NEW YORK
NY
100654870
Provider Mailing Phone/Fax
| Phone: | 2127461500 |
| Fax: |