Nicole M Broadwell
Nicole M Broadwell is an Optician in Central Square, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3018 E AveCentral Square, NY 13036-2713
Phone: (315) 668-0422
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1235966458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 3018 East Ave, Central Square, NY 13036-2713 |
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