Individual
RAIF BADR
Active
Individual
RAIF BADR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
495751-1
NY
163WD0400X
Diabetes Educator Registered Nurse
495751-1
NY
163WE0900X
Enterostomal Therapy Registered Nurse
495751-1
NY
163WG0000X
General Practice Registered Nurse
495751-1
NY
163WP0000X
Pain Management Registered Nurse
495751-1
NY
163WW0000X
Wound Care Registered Nurse
495751-1
NY
163WX0800X
Orthopedic Registered Nurse
495751-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NONE
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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