Active NPI
Christine B Daly
- Contractor
- Yorktown Heights, NY
National Provider Identifier
1053855536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 252Y00000X
- Practice address
- 758 Wildwood CT
Yorktown Heights, NY 10598-1151 - Phone
- (914) 245-6836
- NPI assigned
- Dec 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 252Y00000X | NY | Primary |
Addresses
Primary practice location
758 Wildwood CT
Yorktown Heights, NY 10598-1151
Mailing address
758 Wildwood CT
Yorktown Heights, NY 10598-1151
Phone (914) 245-6836
Other names 1
- Christine Elizabeth Broderick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252Y00000X | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1053855536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 WILDWOOD CT",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105981151",
"telephone_number": "914-245-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 WILDWOOD CT",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105981151",
"telephone_number": "914-245-6836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "CHRISTINE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "252Y00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BRODERICK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.