Broderick, Christina Rose

Broderick, Christina Rose is an sole proprietor health care provider with primary practice located at 162 Broadway , Bethpage NY 11714-4417. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Broderick, Christina Rose can be contacted via phone (516) 547-3658.

Contact Information

Primary practice address
162 Broadway Bethpage NY 11714-4417
Phone: (516) 547-3658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1619215423
LBN Legal business name Broderick, Christina Rose
Credentials MSED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2013
Last updated Jan 29th, 2013 - about 12 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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