| Doctor Name: | DIANE B BRADEN |
| NPI Number: | 1215973235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F331841 |
| Business Practice Address: | 146 Jefferson Hts Catskill, NY - 124141215 |
| Business Phone Number: | 5189433415 |
| Business Fax Number: | 5189430938 |
| Mailing Address: | Po Box 2000, HUDSON |
| State: | NY |
| Postal Code: | 125342000 |
| Phone Number: | 5188288363 |
| Fax Number: | 5186973388 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F331841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |