Provider Demographics
NPI:1003568981
Name:CHANDOO-ESMAIL, BADRIYA (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:BADRIYA
Middle Name:
Last Name:CHANDOO-ESMAIL
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:2310 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2035
Mailing Address - Country:US
Mailing Address - Phone:516-531-6492
Mailing Address - Fax:
Practice Address - Street 1:2310 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2035
Practice Address - Country:US
Practice Address - Phone:516-531-6492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant