Badalova, Olga
Badalova, Olga is an individual health care provider with primary practice located at 7901 Broadway , Elmhurst NY 11373-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Badalova, Olga can be contacted via phone (718) 334-2424.Contact Information
Primary practice address
7901 Broadway
Elmhurst NY 11373-1329
Phone: (718) 334-2424
Fax: (718) 334-5958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F335433 | New York |
Profile Details
| NPI number | 1962663385 |
|---|---|
| LBN Legal business name | Badalova, Olga |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jun 18th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962663385 | NPPES |
| New York | MEDICAID | 00246075 |
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