Broderick, Diane B

Broderick, Diane B is an individual health care provider with primary practice located at 40 Wall St New Dimensions In Health Care, Amsterdam NY 12010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broderick, Diane B can be contacted via phone (518) 843-2575.

Contact Information

Primary practice address
40 Wall St New Dimensions In Health Care Amsterdam NY 12010
Phone: (518) 843-2575
Fax: (518) 843-3255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33 3344443 New York

Profile Details

NPI number 1699746792
LBN Legal business name Broderick, Diane B
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated May 10th, 2021 - about 3 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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