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:
Health care specialties
| Specialty | Code | License # | 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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