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1679543888
ILYA BADALOV
FLUSHING, NY
NPI
1679543888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NY 214438)
Enumeration Date
2006-01-23
Last Update Date
2019-09-09
Business Address
ILYA BADALOV MD
14015 SANFORD AVE
FLUSHING, NY 11355-2686
Phone number: 718-670-6400
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Mailing Address
ILYA BADALOV MD
55 WATER ST FL 2
NEW YORK, NY 10041-0004
Phone number: 646-680-2888
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