| Nison L Badalov Md Pc | |
|
107-21 Queens Blvd Suite 4 Forest Hills NY 11375-4451 | |
| (718) 520-0857 | |
| (718) 520-9099 |
| Full Name | Nison L Badalov Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 107-21 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Nison L. Badalov (OWNER) |
| Authorized Official Contact | 7185200857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nison L Badalov Md Pc 107-21 Queens Blvd Suite 4 Forest Hills NY 11375-4451 Ph: (718) 520-0857 | Nison L Badalov Md Pc 107-21 Queens Blvd Suite 4 Forest Hills NY 11375-4451 Ph: (718) 520-0857 |
| NPI Number | 1528485752 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528485752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 242278 (New York) | Primary |
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