Provider Demographics
NPI:1730209727
Name:PADNICK, STEVEN HOWARD (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HOWARD
Last Name:PADNICK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 HARNED RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3527
Mailing Address - Country:US
Mailing Address - Phone:631-543-8577
Mailing Address - Fax:631-543-8573
Practice Address - Street 1:66 HARNED RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3527
Practice Address - Country:US
Practice Address - Phone:631-543-8577
Practice Address - Fax:631-543-8573
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008998103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist