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Tara Broccolo
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NPI Number Detailed Information
Provider Information:
Name: | Tara Broccolo |
Gender: | F |
Provider License Number If Given: | 649366951 |
NPI Information:
NPI: | 1821495581 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 11/24/2014 |
Last Update Date: | 11/24/2014 |
Provider Business Mailing Address:
Address: | 1628 GLENDOWAN TER Webster, NY 14580 |
Phone Number: | 5855201783 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 2111 HUDSON AVE Irondequoit, NY 14617 |
Phone Number: | 5855201783 |
Fax Number: |
Provider Taxonomy:
Primary: | 174400000X |
Secondary (if any): | |
State: | NY |
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About Tara Broccolo
Tara Broccolo ( TARA BROCCOLO ) is An Specialist Physician in Irondequoit, NY.
The NPI Number for Tara Broccolo is 1821495581.
The current location address for Tara Broccolo is 2111 HUDSON AVE Irondequoit, NY 14617 and the contact number is 5855201783 and fax number is .
The mailing address for Tara Broccolo is 1628 GLENDOWAN TER Webster, NY 14580- 5855201783 (mailing address contact number - 5855201783).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Provider Business Location on Map
FAQs:
What is the NPI Number for Tara Broccolo ?
Answer: The NPI Number for Tara Broccolo is 1821495581
Where is Tara Broccolo located?
Answer: Tara Broccolo is located at 2111 HUDSON AVE Irondequoit, NY 14617.
What is the specialty for Tara Broccolo ?
Answer: The Specialty of Tara Broccolo is An Specialist Physician.
Are there any online reviews for Tara Broccolo ?
Answer: Not yet!
Are there any other health care providers in Irondequoit, NY?
Answer: Yes, there are given below...
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Address: 2111 HUDSON AVE Irondequoit, NY 14617 , Phone: 5855201783
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Tara Broccolo in Other Directories
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