MANOJ MODI

NEW HYDE PARK, NY
NPI1598004582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  016323)
Enumeration Date2013-02-11
Last Update Date2013-02-11
Business Address
-- MANOJ MODI RPA-C,MPAS
2001 MARCUS AVE STE W170
NEW HYDE PARK, NY 11042-2042
Phone number: 516-355-0111
Mailing Address
-- MANOJ MODI RPA-C,MPAS
1012 N ONTARIO AVE
LINDENHURST, NY 11757-2222
Phone number: 917-306-5532
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