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1114787900
ANTHONY MODICA
HUNTINGTON, NY
NPI
1114787900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
ANTHONY MODICA
270 PARK AVE
HUNTINGTON, NY 11743-2787
Phone number: 631-351-2236
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Mailing Address
ANTHONY MODICA
270 PARK AVE
HUNTINGTON, NY 11743-2787
Phone number:
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