Provider Demographics
NPI:1437838422
Name:BADHAN, BANDNA KUMARI
Entity Type:Individual
Prefix:
First Name:BANDNA
Middle Name:KUMARI
Last Name:BADHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3256 71ST ST FL 3
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1722
Mailing Address - Country:US
Mailing Address - Phone:347-292-9386
Mailing Address - Fax:
Practice Address - Street 1:110 JERICHO TPKE STE 212
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2019
Practice Address - Country:US
Practice Address - Phone:516-387-2179
Practice Address - Fax:516-856-2004
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-08-30
Deactivation Date:2023-07-17
Deactivation Code:
Reactivation Date:2023-08-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor