Individual provider · Type 1 NPI

Amelia Broda

Specialist · Fresh Meadows, NY

NPI number 1649600537 Active

Practice location

15813 72nd Ave
Fresh Meadows, NY 11365-1140

Mailing address

2520 30th Rd
Astoria, NY 11102-2606

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X716462 (NY)

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 1649600537

Amelia Broda's National Provider Identifier is 1649600537, issued on Nov 14, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Nov 14, 2013.