Provider Demographics
NPI:1235472770
Name:BADAWY, KARIM A (DPM)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:A
Last Name:BADAWY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 CENTRAL AVE SUITE 21A
Mailing Address - Street 2:
Mailing Address - City:CEDARHUSRT
Mailing Address - State:NY
Mailing Address - Zip Code:11516
Mailing Address - Country:US
Mailing Address - Phone:516-569-3009
Mailing Address - Fax:516-569-3002
Practice Address - Street 1:551 CENTRAL AVE SUITE 21A
Practice Address - Street 2:
Practice Address - City:CEDARHUSRT
Practice Address - State:NY
Practice Address - Zip Code:11516
Practice Address - Country:US
Practice Address - Phone:516-569-3009
Practice Address - Fax:516-569-3002
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSN006642-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery