Individual
SUE A BADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 WEST AVE STE 230, SARATOGA SPRINGS, NY 12866-6050
(518) 583-5300
(518) 583-5300
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-3772
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
333701
NY
363L00000X
Nurse Practitioner
Primary
333701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124047642
—
NY
Enumeration date
07/18/2006
Last updated
06/01/2022
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