Broderick, Nichelle

Broderick, Nichelle is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Broderick, Nichelle can be contacted via phone (718) 920-4321.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 920-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 30070 New York

Profile Details

NPI number 1649664707
LBN Legal business name Broderick, Nichelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Jul 11th, 2019 - about 7 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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