Individual
DIANA BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8956 162ND ST, JAMAICA, NY 11432-5072
(516) 663-1500
Mailing address
8956 162ND ST, JAMAICA, NY 11432-5072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
263219
NY
Other
Enumeration date
04/10/2009
Last updated
06/28/2023
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