Nicole Irene Broderick, LMT is a massage therapist in East Islip, NY. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Nicole Irene Broderick, LMT NPI is 1396375747. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
99 E MAIN ST STE 1
EAST ISLIP, NY
ZIP 11730-538
Phone: (631) 647-8324
Fax: (631) 352-0051
The enumeration date for this NPI number is 1/23/2020 and was last updated on 1/23/2020.