Individual
DR. RYAN MICHAEL BADOLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
310980
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
310980
NY
Other
Enumeration date
04/22/2020
Last updated
05/22/2024
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