Alissa Broder, OD

NPI #1932846425 in Astoria, New York

Provider Information

NPI Number: 1932846425
Entity Type: Individual
Name: Alissa Broder, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 16, 2022
Last Updated: Aug 5, 2022

Practice Location

Address: 3803 BROADWAY
City: Astoria
State: New York
ZIP Code: 11103-3183
Phone: (718) 956-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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