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1447423769
PHILIP MODAYIL
RIVERHEAD, NY
NPI
1447423769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY NY127026)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
-- PHILIP MODAYIL M.D
208 ROANOKE AVE
RIVERHEAD, NY 11901-2706
Phone number: 631-369-0104
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Mailing Address
-- PHILIP MODAYIL M.D
790 PARK AVE
HUNTINGTON, NY 11743-4516
Phone number: 631-427-3700
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