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Individual

RUTH L BADLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
150 E SUNRISE HIGHWAY, 208, LINDENHURST, NY 11757
(631) 225-7200
(631) 930-9451
Mailing address
150 E SUNRISE HIGHWAY, 208, LINDENHURST, NY 11757
(631) 225-7200
(631) 930-9451

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220152
NY
2085U0001X
Diagnostic Ultrasound Physician
220152
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2458262
NY
Enumeration date
06/13/2006
Last updated
11/08/2011
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