Individual
MS. LAURA BETH BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 HARRISON AVE, EAST MEADOW, NY 11554-3626
(516) 538-4324
Mailing address
576 HARRISON AVE, EAST MEADOW, NY 11554-3626
(516) 538-4324
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1081259
NY
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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