Individual
MOHAN BADHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 STIRRUP LN, SYOSSET, NY 11791-4417
(718) 894-4200
Mailing address
170 STIRRUP LN, SYOSSET, NY 11791-4417
(718) 894-4200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
119330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00223574
—
NY
Enumeration date
11/14/2006
Last updated
05/16/2019
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