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Roza Badalova

Case Manager/Care Coordinator in Flushing, NY. Individual provider (NPI-1).

NPI number1114280393
StatusActive
Last updated in NPPESJun 21, 2012

Details

NPI
1114280393
Entity type
Individual (NPI-1)
Name
Ms. Roza Badalova
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2012
Last updated
Jun 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator171M00000X-Case–Yes

Practice location

7238 Main St
Flushing, NY 11367-2408

Phone 718-851-3300

Mailing address

111 Mowbray Dr
Kew Gardens, NY 11415-1437

Phone 718-309-8988

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