Individual
BORIS BADALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 HAVEMEYER STREET, BROOKLYN, NY 11211-5410
(718) 559-5991
Mailing address
1103 AVENUE I, BROOKLYN, NY 11230-2907
(718) 252-1589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064691
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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