Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Broccolo, PA

Individual provider Physician Assistant · NPI 1225163546

Alexandra Broccolo, PA is a Physician Assistant in Roslyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1353
Phone: (516) 338-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004720 (NY)

Record details

NPI number1225163546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 7, 2008

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