NPI 1336600428

Nonna Badalova, MDDO

Practitioner Family Medicine Physician Port Jefferson Station, NY

Practice location

Address: 5145 Nesconset Hwy STE 4, Port Jefferson Station, NY 11776-2118
Phone: (347) 493-2945

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 316743 (NY)

Other Family Medicine providers in New York →

Registry record

NPI: 1336600428
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2019
Record last updated: 2 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.