# TREVOR BADDALOO DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598465825
- **Authorized official:** DR. TREVOR R BADDALOO DPM (OWNER)
- **Authorized official phone:** (305) 206-7096

## Contact information

- **Practice address:** 182 MARTINE AVE, WHITE PLAINS, NY 10601-3305
- **Practice address phone:** (305) 206-7096
- **Mailing address:** 182 MARTINE AVE, WHITE PLAINS, NY 10601-3305
- **Mailing address phone:** (305) 206-7096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 07/20/2023