Individual
REEM BADR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
3505 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7640
(631) 676-7656
Mailing address
17 ADAMSON ST, SELDEN, NY 11784-4403
(631) 747-4704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019034
NY
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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