Individual
EVELINA BADALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
(516) 200-6305
Mailing address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
(506) 200-6305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011021
NY
Other
Enumeration date
03/06/2007
Last updated
12/18/2025
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