Individual
BADIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11518 201ST ST, SAINT ALBANS, NY 11412-2835
(718) 276-4418
Mailing address
11518 201ST ST, SAINT ALBANS, NY 11412-2835
(718) 276-4418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
607188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607188
OFFICE OF PROFESSIONS - RN LICENSE
NY
Enumeration date
09/16/2009
Last updated
09/16/2009
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