Individual
DANIELLA BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
(516) 270-0505
Mailing address
833 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033440-01
NY
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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