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1245360064
MICHAEL PAUL MODZELEWSKI
NEW YORK, NY
NPI
1245360064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 049855)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL PAUL MODZELEWSKI Pharm. D.
197 8TH AVE
NEW YORK, NY 10011-1605
Phone number: 212-691-9050
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Mailing Address
Mr. MICHAEL PAUL MODZELEWSKI Pharm. D.
294 MAYBURY AVE
STATEN ISLAND, NY 10308-3252
Phone number: 718-608-2416
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