SOPHIA MAE MODICA

MASSAPEQUA, NY
NPI1407545577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  812012)
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
SOPHIA MAE MODICA RN
25 BAY DR
MASSAPEQUA, NY 11758-7303
Phone number: 631-809-1269
Mailing Address
SOPHIA MAE MODICA RN
25 BAY DR
MASSAPEQUA, NY 11758-7303
Phone number: 631-809-1269
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