Individual
BROOKE AVELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7901 BROADWAY # B1-27, ELMHURST, NY 11373-1329
(718) 334-2209
(718) 334-5006
Mailing address
7901 BROADWAY # B1-27, ELMHURST, NY 11373-1329
(718) 334-2209
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028339
NY
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
10/14/2019
Last updated
10/03/2023
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