PHILIP MODAYIL

RIVERHEAD, NY
NPI1447423769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  NY127026)
Enumeration Date2008-04-08
Last Update Date2008-04-08
Business Address
-- PHILIP MODAYIL M.D
208 ROANOKE AVE
RIVERHEAD, NY 11901-2706
Phone number: 631-369-0104
Mailing Address
-- PHILIP MODAYIL M.D
790 PARK AVE
HUNTINGTON, NY 11743-4516
Phone number: 631-427-3700