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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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