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1437421740
CHRYSTIE A MODICA
REGO PARK, NY
NPI
1437421740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021394-1)
Enumeration Date
2012-02-01
Last Update Date
2014-10-23
Business Address
-- CHRYSTIE A MODICA M.S. CCC-SLP
9777 QUEENS BLVD
REGO PARK, NY 11374-3335
Phone number: 718-830-9274
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Mailing Address
-- CHRYSTIE A MODICA M.S. CCC-SLP
9777 QUEENS BLVD
REGO PARK, NY 11374-3335
Phone number: 718-830-9274
Copy
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