Isak Badalov, DPM
in Jamaica, NY. Individual provider (NPI-1).
NPI number1396881264
StatusActive
Last updated in NPPESMay 12, 2010
Details
- NPI
- 1396881264
- Entity type
- Individual (NPI-1)
- Name
- Isak Badalov
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2007
- Last updated
- May 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | N006202 | NY | Yes |
Practice location
8027 135th StJamaica, NY 11435-1029
Phone 347-561-3120
Mailing address
14425 77th AveFlushing, NY 11367-3129
Phone 917-239-5670
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