| Dr Bethany A Broderick, MD | |
| 1044 State St, Schenectady, NY 12307-1508 | |
| (518) 370-1441 | |
| (518) 395-9431 | 
| Full Name | Dr Bethany A Broderick | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1044 State St, Schenectady, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407804834 | NPI | - | NPPES | 
| 02756527 | Medicaid | NY | |
| 02995513 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 239752 (New York) | Primary | 
| Entity Name | Schenectady Family Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396711982 PECOS PAC ID: 1850280827 Enrollment ID: O20040325000143 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Bethany A Broderick, MD 1044 State St, Schenectady, NY 12307-1508 Ph: (518) 370-1441 | Dr Bethany A Broderick, MD 1044 State St, Schenectady, NY 12307-1508 Ph: (518) 370-1441 | 
| Hadi Koohsari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Union St, Schenectady, NY 12305 Phone: 518-374-1610 Fax: 518-374-3512 | |
| Dr. Michael Paul Sonnekalb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Stephanie B. Evans, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1044 State St, Schenectady, NY 12307 Phone: 518-370-1441 Fax: 518-395-9431 | |
| Dr. James David Saperstone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Dr. Margaret M Woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-372-1384 | |
| Dr. Richard Yan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-355-3996 | |
| Kathleen Shanley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 |