| Doctor Name: | ERIC PADOL |
| NPI Number: | 1013152131 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 017866 |
| Business Practice Address: | 1410 Seagirt Blvd Far Rockaway, NY - 116914509 |
| Business Phone Number: | 7184717000 |
| Business Fax Number: | 7183279010 |
| Mailing Address: | 1 Old Country Rd, Suite 271 CARLE PLACE |
| State: | NY |
| Postal Code: | 115141801 |
| Phone Number: | 8007256280 |
| Fax Number: | 8007256380 |
| NPI Enumeration Date: | 12/03/2008 |
| NPI Last Update Date: | 12/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 017866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |