Individual
MS. CHRISTINA ROSE BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
162 BROADWAY, BETHPAGE, NY 11714-4417
(516) 547-3658
Mailing address
162 BROADWAY, BETHPAGE, NY 11714-4417
(516) 547-3658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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