Nicole M Broadwell
NPI #1235966458 in Central Square, New York
Provider Information
- NPI Number
- 1235966458
- Entity Type
- Individual
- Name
- Nicole M Broadwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 19, 2024
- Last Updated
- Sep 19, 2024
Practice Location
- Address
- 3018 EAST AVE
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-2713
- Phone
- (315) 668-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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