SearchNew York122300000X

David Badalov

NPI 1316441298 · on the registry since 2018 · sole proprietor

Practice

Address
13511 78th Dr
Flushing, NY 11367
Phone
(646) 441-7711
Organisation at this address
Ilya Badalov Physician Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York