Individual
KRISTINA BADALOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(347) 774-7000
Mailing address
15905 GRAND CENTRAL PKWY, JAMAICA, NY 11432-1128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012433
NY
Other
Enumeration date
10/28/2008
Last updated
06/25/2014
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