Individual
SAMUEL S BADALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3160
(607) 547-6303
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3160
(607) 547-6303
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
211964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01869130
—
NY
05
—
01923284
—
NY
Enumeration date
08/19/2005
Last updated
07/15/2022
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