Brooke Avellino, PA
Physician Assistant in Elmhurst, NY. Individual provider (NPI-1).
NPI number1346882016
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1346882016
- Entity type
- Individual (NPI-1)
- Name
- Brooke Avellino
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2019
- Certification date
- May 19, 2022
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 028339 | NY | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY |
Practice location
7901 Broadway # B1-27Elmhurst, NY 11373-1329
Phone 718-334-2209 · Fax 718-334-5006
Mailing address
7901 Broadway # B1-27Elmhurst, NY 11373-1329
Phone 718-334-2209 · Fax 718-334-5006
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All 149 Physician Assistant providers in Elmhurst · All 3,376 providers in Elmhurst
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