Individual
AHMED A BADAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 NORTHERN LIGHTS DR, SYRACUSE, NY 13212-4108
(315) 455-2411
(315) 455-1899
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 445-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054557-1
NY
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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