NPI
Mary Rachelle Broderick
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- RDH
- Type
- Individual
- Enumeration date
- 2011-09-13
- Last updated
- 2011-09-13
Specialties
Licenses
- License NY
- 016112-1
Location
- Practice location
- 6419 Lake Rd
- City
- Appleton NY
- Postal code
- 14008-9606
- Phone
- (716) 297-0798
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Appleton, NY. 7 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.