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SAMUEL S. BADALIAN MD PC NPI 1902095086


NPI Information

NPI: 1902095086
Provider Name: SAMUEL S. BADALIAN MD PC
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
104 UNION AVE
SUITE 803
SYRACUSE, NY
ZIP 13203
Phone: (315) 472-6935
Get Directions

SAMUEL S. BADALIAN MD PC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Syracuse, NY. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. SAMUEL S. BADALIAN MD PC NPI is 1902095086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 UNION AVE
SUITE 803
SYRACUSE, NY
ZIP 13203-000
Phone: (315) 472-6935
Fax: (315) 472-6936

The provider's authorized official is Cindy Foley .
The authorized official title is Office Manager and has the following contact phone number (315) 472-6935.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 4/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery211964NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101923284MEDICAIDNEW YORK
2BA0711MEDICARE PINNEW YORK
3BA0712MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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