| Doctor Name: | DOROTHEA SUSAN BADENHAUSEN |
| NPI Number: | 1144306978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 118692 |
| Business Practice Address: | 652 State Highway 11c Winthrop, NY - 136973244 |
| Business Phone Number: | 3153895181 |
| Business Fax Number: | 3153895183 |
| Mailing Address: | Po Box 208, WINTHROP |
| State: | NY |
| Postal Code: | 136970208 |
| Phone Number: | 3153895181 |
| Fax Number: | 3153895183 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 118692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |