Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE IRENE BRODERICK, LMT
Active Sole ProprietorNICOLE IRENE BRODERICK, LMT is a Massage Therapist healthcare provider located in EAST ISLIP, New York. NPI 1396375747 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · EAST ISLIP, NY
Registration Details
- NPI Number
- 1396375747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2020 (6.5596872843395 yrs)
- Last Updated
- Jan 23, 2020
- License
-
016018-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
99 E MAIN ST STE 1EAST ISLIP, NY, 117302538Browse NY providers · Browse ZIP 11730
- Phone
- 6316478324
- Fax
- 6313520051
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in EAST ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| LORETTA M DALIA | LMT | 1962764241 |
| LIONEL GONDOLFO | — | 1144871146 |
| MICHAEL MADRIGAL | LMT | 1518618974 |
| ISAIAS MANUEL PEREZ | LMT | 1316822182 |
| SAMANTA ARBOLEDA | LMT | 1730032996 |
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.