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TARA BROCCOLO
NPI 1821495581
Specialist in Irondequoit, NY

Active since November 24, 2014
2111 HUDSON AVE, IRONDEQUOIT, NY 14617(585) 520-1783 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Broccolo NPPES

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

TARA BROCCOLO (NPI 1821495581) is an individual specialist in Irondequoit, New York, licensed in New York (649366951) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1821495581
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTARA BROCCOLO
Location Address2111 HUDSON AVEIrondequoit, NY 14617-4346
Mailing Address1628 Glendowan TerWebster, NY 14580-8571 · (585) 520-1783
Phone(585) 520-1783
Sole ProprietorYes
Enumeration DateNovember 24, 2014
✔ NPI 1821495581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 649366951
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.
2111 HUDSON AVE, Irondequoit, NY 14617
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY PECK
Specialist
2111 HUDSON AVE
IRONDEQUOIT, NY 14617
Monroe County (585) 467-4567
LAUREN RITZLER
Specialist
2111 HUDSON AVE
IRONDEQUOIT, NY 14617
Monroe County (585) 467-4567
TANISHA THOMPSON B.A
Specialist
2111 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 467-4567
ANDREA SCALZO
Specialist
2111 HUDSON AVE
IRONDEQUOIT, NY 14617
Monroe County (585) 703-7501
DR. ANDREA NICOSIA PT, DPT
Physical Therapist
2111 HUDSON AVE
IRONDEQUOIT, NY 14617
Monroe County (585) 467-4567
MARY DELUCENAY
Specialist
2111 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 467-4567
STEPPING STONES LEARNING CENTER
Early Intervention Provider Agency
2111 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 467-4567
JESSICA SMITH
Specialist
2111 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 467-4567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Broccolo's NPI number?

The NPI number for Tara Broccolo is 1821495581. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Tara Broccolo located?

Tara Broccolo practices at 2111 Hudson Ave, Irondequoit, NY 14617. The listed phone number is (585) 520-1783.

What is Tara Broccolo's specialty?

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

When was this NPI record last updated?

The NPPES record for Tara Broccolo was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.