Individual
DIANE B BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
40 WALL ST, NEW DIMENSIONS IN HEALTH CARE, AMSTERDAM, NY 12010
(518) 843-2575
(518) 843-3255
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33 3344443
NY
Other
Enumeration date
01/28/2006
Last updated
05/10/2021
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