Broderick, Robert
Broderick, Robert is an individual health care provider with primary practice located at 1355 Northern Blvd Ste 300, Manhasset NY 11030-3023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Broderick, Robert can be contacted via phone (516) 627-3232.Contact Information
Primary practice address
1355 Northern Blvd Ste 300
Manhasset NY 11030-3023
Phone: (516) 627-3232
Fax: (516) 365-1893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 141375 | New York |
Profile Details
| NPI number | 1275537656 |
|---|---|
| LBN Legal business name | Broderick, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Sep 9th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275537656 | NPPES |
| New York | MEDICAID | 1508649 |
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