ILYA BADALOV PHYSICIAN PC NPI 1962655167

NPI Information

ILYA BADALOV PHYSICIAN PC is a colon rectal surgery in Flushing, NY. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. ILYA BADALOV PHYSICIAN PC NPI is 1962655167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13511 78TH DR
FLUSHING, NY
ZIP 11367-235
Phone: (718) 847-9329

The provider's authorized official is Ilya Badalov .
The authorized official title is President and has the following contact phone number (718) 847-9329.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 10/31/2008.

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:

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