Individual
MRS. AVIVA B BROKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
1217 E 24TH ST, BROOKLYN, NY 11210-4532
(718) 258-1264
(718) 258-4793
Mailing address
1217 E 24TH ST, BROOKLYN, NY 11210-4532
(718) 258-1264
(718) 258-4793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010894-1
NY
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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