Individual
MRS. LISA BADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
270-05 76TH AVENUE, NEW HYDE PARK, NY 11040-1433
(718) 470-7000
Mailing address
101 MONTEREY DR, NEW HYDE PARK, NY 11040-1053
(646) 302-0722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008682
NY
Other
Enumeration date
02/06/2007
Last updated
06/28/2011
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