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1598004582
MANOJ MODI
NEW HYDE PARK, NY
NPI
1598004582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016323)
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
MANOJ MODI RPA-C,MPAS
2001 MARCUS AVE STE W170
NEW HYDE PARK, NY 11042-2042
Phone number: 516-355-0111
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Mailing Address
MANOJ MODI RPA-C,MPAS
1012 N ONTARIO AVE
LINDENHURST, NY 11757-2222
Phone number: 917-306-5532
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