Individual
ISAK BADALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8027 135TH ST, JAMAICA, NY 11435-1029
(347) 561-3120
Mailing address
14425 77TH AVE, FLUSHING, NY 11367-3129
(917) 239-5670
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006202
NY
Other
Enumeration date
01/29/2007
Last updated
05/12/2010
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