Amelia Broda
Specialist in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1649600537
StatusActive
Last updated in NPPESNov 14, 2013
Details
- NPI
- 1649600537
- Entity type
- Individual (NPI-1)
- Name
- Amelia Broda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2013
- Last updated
- Nov 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 716462 | NY | Yes |
Practice location
15813 72nd AveFresh Meadows, NY 11365-1140
Phone 718-380-7600
Mailing address
2520 30th RdAstoria, NY 11102-2606
Phone 917-930-8792
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