Individual
MS. ANNMARIE BADAGLIACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1743 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 758-3100
(631) 758-2026
Mailing address
276 HIDDEN POND PATH, WADING RIVER, NY 11792
(631) 929-1353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
D06611-1
NY
Other
Enumeration date
11/20/2006
Last updated
09/11/2018
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