Individual provider · Type 1 NPI

Julia Brooke Anderson

Surgical Physician Assistant · Roslyn, NY

NPI number 1295646354 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Mailing address

24 Wildwood Ln
Roslyn Heights, NY 11577-1525

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1295646354

Julia Brooke Anderson's National Provider Identifier is 1295646354, issued on Sep 16, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roslyn, NY. The record was last updated on Sep 16, 2026.