SCOTT BRODERICK

PLATTSBURGH, NY
NPI1083957575
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-04-03
Last Update Date2013-04-03
Business Address
-- SCOTT BRODERICK RN
118 ALGONQUIN PK
PLATTSBURGH, NY 12901
Phone number: 518-572-8780
Mailing Address
-- SCOTT BRODERICK RN
118 ALGONQUIN PARK
PLATTSBURGH, NY 12901-1193
Phone number: 518-572-8780