Provider Demographics
NPI:1821241993
Name:BRODSKY, GERALDINE FRANCES (MA, SLP)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:FRANCES
Last Name:BRODSKY
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1004
Mailing Address - Country:US
Mailing Address - Phone:845-876-4313
Mailing Address - Fax:845-876-4313
Practice Address - Street 1:9 CEDAR DR
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1004
Practice Address - Country:US
Practice Address - Phone:845-876-4313
Practice Address - Fax:845-876-4313
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0001701235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist