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1255473849
CONNIE L MODICA
SYOSSET, NY
NPI
1255473849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 011631)
Enumeration Date
2007-02-12
Last Update Date
2010-07-27
Business Address
Dr. CONNIE L MODICA PT DPT MS
47 HUMPHREY DR
SYOSSET, NY 11791-4022
Phone number: 516-921-7171
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Mailing Address
Dr. CONNIE L MODICA PT DPT MS
47 HUMPHREY DR
SYOSSET, NY 11791-4022
Phone number: 516-921-7171
Copy
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