Individual
ADAM ROGER BADGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
029352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1199496
NCCPA
—
Enumeration date
10/04/2022
Last updated
11/07/2024
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