Individual
CHRISTOPHER EVERETT BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13 CORNELL RD STE 2, LATHAM, NY 12110-1425
(518) 348-3176
Mailing address
13 CORNELL RD STE 2, LATHAM, NY 12110-1425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288755
NY
207P00000X
Emergency Medicine Physician
T2123
TX
Other
Enumeration date
03/12/2013
Last updated
03/14/2025
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