EDWARD JOSEPH MODICA

HUNTINGTON, NY
NPI1245090034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
EDWARD JOSEPH MODICA DO
270 PARK AVE
HUNTINGTON, NY 11743-2787
Phone number: 631-351-2236
Mailing Address
EDWARD JOSEPH MODICA DO
270 PARK AVE
HUNTINGTON, NY 11743-2787
Phone number:
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