Broderick, Therese Lisieux
Broderick, Therese Lisieux is an sole proprietor health care provider with primary practice located at 391 W Lawrence St , Albany NY 12208-2135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Broderick, Therese Lisieux can be contacted via phone (518) 482-2639.Contact Information
Primary practice address
391 W Lawrence St
Albany NY 12208-2135
Phone: (518) 482-2639
Fax: (518) 482-2639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1730731225 |
|---|---|
| LBN Legal business name | Broderick, Therese Lisieux |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2019 |
| Last updated | Jul 15th, 2019 - about 6 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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