Individual
DR. RICHARD ALLEN BADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
297976
NY
208100000X
Physical Medicine & Rehabilitation Physician
A55096
CA
208100000X
Physical Medicine & Rehabilitation Physician
MD-17099
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A550960
—
CA
01
—
00A550961
MEDICARE
—
Enumeration date
08/11/2006
Last updated
03/07/2023
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