Individual
DR. NISON L BADALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 QUENTIN RD, SEVENTH FLOOR, BROOKLYN, NY 11223-2214
(718) 336-3900
(718) 336-3990
Mailing address
902 QUENTIN RD, SEVENTH FLOOR, BROOKLYN, NY 11223-2214
(718) 336-3900
(718) 336-3990
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
242278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03071010
—
NY
Enumeration date
08/30/2007
Last updated
03/11/2015
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