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Organization

ADVANCE PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISAK BADALOV DPM (OWENER)
(917) 239-5670
Entity
Organization

Contact information

Practice address
14425 77TH AVE, FLUSHING, NY 11367-3129
(917) 239-5670
Mailing address
14425 77TH AVE, FLUSHING, NY 11367-3129
(917) 239-5670

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006202
NY

Other

Enumeration date
02/12/2007
Last updated
08/13/2007
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