ALEXANDRA BROCCOLO

ROSLYN, NY
NPI1225163546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004720)
Enumeration Date2007-02-23
Last Update Date2008-07-07
Business Address
-- ALEXANDRA BROCCOLO P.A.
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1353
Phone number: 516-338-5300
Mailing Address
-- ALEXANDRA BROCCOLO P.A.
PO BOX 1048
PORT WASHINGTON, NY 11050-1048
Phone number: 516-338-5300
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