Provider Demographics
NPI:1740611003
Name:BADALOVA, ZARINA (AUD)
Entity type:Individual
Prefix:DR
First Name:ZARINA
Middle Name:
Last Name:BADALOVA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 FALMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3006
Mailing Address - Country:US
Mailing Address - Phone:917-755-9333
Mailing Address - Fax:
Practice Address - Street 1:166 FALMOUTH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3006
Practice Address - Country:US
Practice Address - Phone:917-755-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002509231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist