Broad, Matthew

Broad, Matthew is an sole proprietor health care provider with primary practice located at 1 Mustard St Ste 240250 , Rochester NY 14609-6980. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as his primary health care specialty. Broad, Matthew can be contacted via phone (585) 451-0028.

Contact Information

Primary practice address
1 Mustard St Ste 240250 Rochester NY 14609-6980
Phone: (585) 451-0028
Fax: (585) 654-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 001375 New York

Profile Details

NPI number 1912505249
LBN Legal business name Broad, Matthew
Credentials LCAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2020
Last updated Oct 9th, 2020 - about 4 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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