Individual provider · Type 1 NPI
Jennifer Katherine Pralle Broderick
Specialist · Huntington, NY
NPI number
1457221848
Active
Practice location
36 Highland Ct
Huntington, NY 11743-3235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1457221848
Jennifer Katherine Pralle Broderick's National Provider Identifier is 1457221848, issued on Nov 10, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Huntington, NY. The record was last updated on Nov 19, 2025.