Individual
DIONNE BADENOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 TILLOTSON AVE STE 102, BRONX, NY 10475-1560
(718) 671-2100
(347) 964-0790
Mailing address
1435 LOUIS NINE BLVD, BRONX, NY 10459-1307
(718) 991-8290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347379-01
NY
Other
Enumeration date
01/17/2014
Last updated
05/03/2021
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