Tara Broccolo
Specialist • Irondequoit, NY
Professional Overview & Biography Verified Profile Summary
Tara Broccolo is a registered healthcare professional specializing in Specialist in Irondequoit, NY. Practice services are available at 2111 HUDSON AVE under active NPI credentials.
Practice Location & Contact Primary Location
2111 Hudson Ave
Irondequoit, NY 146174346
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Irondequoit, NY
Practicing in Irondequoit, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Specialist
Specialist
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Speech-Language Pathologist
Specialist
Master of Science in Education, MSCAS
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 2111 HUDSON AVE, IRONDEQUOIT, NY 146174346 (Tel: 5855201783)
Registered at 1628 GLENDOWAN TER, WEBSTER, NY 145808571 (Tel: 5855201783)
Recorded as TARA BROCCOLO
Specialist (License #649366951 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1628 Glendowan Ter
Webster, NY 145808571
Phone: 5855201783
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