Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY RACHELLE BRODERICK, RDH
Active Sole ProprietorMS. MARY RACHELLE BRODERICK, RDH is a Dental Hygienist healthcare provider located in APPLETON, New York. NPI 1134401490 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · APPLETON, NY
Registration Details
- NPI Number
- 1134401490
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2011 (14.875686648563 yrs)
- Last Updated
- Sep 13, 2011
- License
-
016112-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6419 LAKE RDAPPLETON, NY, 140089606Browse NY providers · Browse ZIP 14008
- Phone
- 7162970798
- Fax
- 7162970998
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.