Individual
ELIZABETH ANN BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
221 FORD ST, CONSHOHOCKEN, PA 19428-2917
(215) 301-1627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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