Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Katherine Pralle Broderick

Individual provider Specialist · NPI 1457221848

Jennifer Katherine Pralle Broderick is a Specialist in Huntington, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

36 Highland Ct
Huntington, NY 11743-3235
Phone: (631) 697-8412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1457221848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 10, 2025

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