National Provider Identifier

Keenan Broderick

Keenan Broderick is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 831-1800.

NPI 1962760785Buffalo, NYCounselor

Source: public NPPES record, last updated April 30, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1962760785
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
April 30, 2012
Last Updated
April 30, 2012

Practice Location

  • 3020 Bailey Ave
  • 2Nd Floor
  • Buffalo, NY 14215-2814

Phone: (716) 831-1800

Specialties

  • Counselor (101Y00000X)

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Biography

Keenan Broderick is a Buffalo-based counselor listed in the national provider registry. Public sources do not surface a detailed biography, but his practice is in the same area as the Buffalo VA Medical Center, a VA Western New York campus with mental health, counseling, and PTSD care services.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1962760785
Entity Type
Individual
Last Name
Broderick
First Name
Keenan
Mailing Street Address
3020 Bailey Ave
Mailing Address Line 2
2Nd Floor
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1800
Mailing Fax
(716) 831-1818
Practice Street Address
3020 Bailey Ave
Practice Address Line 2
2Nd Floor
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 831-1800
Practice Fax
(716) 831-1818
Enumeration Date
April 30, 2012
Last Updated
April 30, 2012
Sex
Male
Sole Proprietor
No
Taxonomies
Counselor (101Y00000X)