LISA MARIA MODESTO

FOREST HILLS, NY
NPI1598879637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: NY  TUV007078)
Enumeration Date2006-08-18
Last Update Date2008-02-27
Business Address
MISS LISA MARIA MODESTO O.D.
10933 71ST RD SUITE 2 C
FOREST HILLS, NY 11375-4867
Phone number: 718-261-3366
Mailing Address
MISS LISA MARIA MODESTO O.D.
610 E 20TH ST APT 4E APT. 4 E
NEW YORK, NY 10009-1403
Phone number: 917-843-9639
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