Individual
DR. RENEE BADAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8603 57TH RD, ELMHURST, NY 11373-4844
(718) 541-5303
Mailing address
8603 57TH RD, ELMHURST, NY 11373-4844
(718) 541-5303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 015373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3845289
EMPLOYER IDENTIFICATION
NY
Enumeration date
04/11/2007
Last updated
06/27/2012
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