| James E. Broderick | |
|
470 S Pearl St, Canandaigua, NY 14424-1702 | |
| (585) 394-4070 | |
| (585) 394-8563 |
| Full Name | James E. Broderick |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 470 S Pearl St, Canandaigua, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497074249 | NPI | - | NPPES |
| 01158323 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | N004540 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James E. Broderick 470 S Pearl St, Canandaigua, NY 14424-1702 Ph: (585) 394-4070 | James E. Broderick 470 S Pearl St, Canandaigua, NY 14424-1702 Ph: (585) 394-4070 |
James Edward Broderick, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 470 S Pearl St, Canandaigua, NY 14424 Phone: 585-394-4070 Fax: 585-394-8563 | |
Dr. Robert J Magiera, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 117 North Main St, Canandaigua, NY 14424 Phone: 585-394-0341 Fax: 585-394-0341 | |
Dr. Ralph Anthony Minervino, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Podiatry Clinic #129, Canandaigua, NY 14424 Phone: 585-393-8108 Fax: 585-393-8573 | |
Kevin R Hopson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 229 Parrish St Ste 100, Canandaigua, NY 14424 Phone: 585-394-1960 Fax: 585-393-9232 | |
Marcie Marie Struck, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 000-000-0000 |