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Contact Information

SAMUEL S BADALIAN, M.D., PH.D.
1 ATWELL RD
COOPERSTOWN, NY13326-1301
 Phone: 607-547-3160
 Fax: 607-547-6303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SAMUEL S BADALIAN · (Male)

NPI Number 1407848906
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 08/19/2005
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 211964
  • NY Medicaid 01869130
  • NY Medicaid 01923284
Hospital affiliation(s)
  • AURELIA OSBORN FOX MEMORIAL HOSPITAL - (Acute Care)
    ONE NORTON AVENUE
    ONEONTA, NY 13820
  • MARY IMOGENE BASSETT HOSPITAL - (Acute Care)
    ONE ATWELL ROAD
    COOPERSTOWN, NY 13326
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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