AMELIA BRODA
NPI 1649600537
Specialist in Fresh Meadows, NY

Q: What is Amelia Broda's NPI number?

The NPI number for Amelia Broda is 1649600537. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Q: What is Amelia Broda's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Amelia Broda was last updated on November 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2013

15813 72ND AVE, FRESH MEADOWS, NY 11365(718) 380-7600 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amelia Broda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMELIA BRODA (NPI 1649600537) is an individual specialist in Fresh Meadows, New York, licensed in New York (716462) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1649600537

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameAMELIA BRODA

Location Address15813 72ND AVEFresh Meadows, NY 11365-1140

Mailing Address2520 30th RdAstoria, NY 11102-2606 · (917) 930-8792

Phone(718) 380-7600

Sole ProprietorNo

Enumeration DateNovember 14, 2013

✔ NPI 1649600537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 716462

Definition

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.

15813 72ND AVE, Fresh Meadows, NY 11365

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