Most Relevant Information
Provider Data
| NPI Number: | 1003261017 |
| Provider Name: | CARLY BROD M.S.ED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 2563909 |
Most Important Dates
| Enumeration Date: | 04/27/2016 |
| Last Updated: | 04/27/2016 |
Provider Practice Location
280 CROSSWAYS PARK DRIVE
WOODBURY
NY
11787
Practice Location Phone/Fax
| Phone: | 5169281784 |
| Fax: |
Provider Mailing Location
1919 CHARLES STREET
BELLMORE
NY
11710
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |