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Contact Information

CARLENE H BRODERICK, MD
MMC - DEPT. OF ANESTHESIOLOGY
111 EAST 210TH STREET
BRONX, NY10467
 Phone: 718-920-6369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CARLENE H BRODERICK · (Female)

NPI Number 1093890485
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 08/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 181113
Hospital affiliation(s)
  • MONTEFIORE MEDICAL CENTER - (Acute Care)
    111 EAST 210TH STREET
    BRONX, NY 10467
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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