Badalov, Nison L

Badalov, Nison L is an sole proprietor health care provider with primary practice located at 902 Quentin Rd Seventh Floor, Brooklyn NY 11223-2214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Badalov, Nison L can be contacted via phone (718) 336-3900.

Contact Information

Primary practice address
902 Quentin Rd Seventh Floor Brooklyn NY 11223-2214
Fax: (718) 336-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 242278 New York

Profile Details

NPI number 1417141664
LBN Legal business name Badalov, Nison L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Mar 11th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417141664 NPPES
New York MEDICAID 03071010

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