Evelina Badalov, PA
Physician Assistant in Great Neck, NY. Individual provider (NPI-1).
NPI number1689704967
StatusActive
Last updated in NPPESDec 18, 2025
Details
- NPI
- 1689704967
- Entity type
- Individual (NPI-1)
- Name
- Evelina Badalov
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2007
- Certification date
- Dec 18, 2025
- Last updated
- Dec 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 011021 | NY | Yes |
Practice location
1010 Northern BlvdGreat Neck, NY 11021-5317
Phone 516-200-6305
Mailing address
1010 Northern BlvdGreat Neck, NY 11021-5317
Phone 506-200-6305
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All 65 Physician Assistant providers in Great Neck · All 3,221 providers in Great Neck
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