Individual provider · Type 1 NPI

Julianna Broccolo

Specialist · Seaford, NY

NPI number 1174203269 Active

Practice location

750 Hicksville Rd
Seaford, NY 11783-1328

Mailing address

23 Smith St
Glen Head, NY 11545-1301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Specialist: 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.

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About NPI 1174203269

Julianna Broccolo's National Provider Identifier is 1174203269, issued on Jul 24, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Seaford, NY. The record was last updated on Jul 24, 2023.