Heath J Brodersen is a student in an organized health care education training program in Latham, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Heath J Brodersen NPI is 1710645122. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY
ZIP 12110-074
Phone: (518) 348-3176
The NPI 1710645122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/2/2021 and was last updated on 3/29/2022.