Badr, Riem

Badr, Riem is an individual health care provider with primary practice located at 1500 Route 112 Bldg 4 , Port Jefferson Station NY 11776-8055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Badr, Riem can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055
Phone: (631) 751-3000
Fax: (631) 751-3000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X A91682 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A91682 California
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 291625 New York

Profile Details

NPI number 1649571407
LBN Legal business name Badr, Riem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2010
Last updated Mar 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649571407 NPPES
New York MEDICAID 05636228

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