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Organization

NISON L BADALOV MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NISON L. BADALOV MD (OWNER)
(718) 520-0857
Entity
Organization

Contact information

Practice address
107-21 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375-4451
(718) 520-0857
(718) 520-9099
Mailing address
107-21 QUEENS BLVD, SUITE 4, FOREST HILLS, NY 11375-4451
(718) 520-0857
(718) 520-9099

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
242278
NY

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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