National Provider Identifier
Andi Dora Broffman
Andi Dora Broffman is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 793-4260.
Profile Overview
- NPI
- 1639990229
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- October 17, 2024
- Last Updated
- October 17, 2024
Practice Location
- 16 Cinema Drive, Suite 119
- Suite 119
- Ithaca, NY 14850
Phone: (607) 793-4260
Mailing Address
- 103 Lafayette Ave
- Geneva, NY 14456-1610
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1639990229
- Entity Type
- Individual
- Last Name
- Broffman
- First Name
- Andi
- Middle Name
- Dora
- Mailing Street Address
- 103 Lafayette Ave
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1610
- Mailing Country
- US
- Mailing Phone
- (716) 868-7191
- Practice Street Address
- 16 Cinema Drive, Suite 119
- Practice Address Line 2
- Suite 119
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 793-4260
- Enumeration Date
- October 17, 2024
- Last Updated
- October 17, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)