ANTONELLA MODRUSON

ELMONT, NY
NPI1750698080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  58 015880)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
Mrs. ANTONELLA MODRUSON
144 COVERT AVE
ELMONT, NY 11003-1138
Phone number: 516-326-5560
Mailing Address
Mrs. ANTONELLA MODRUSON
26 HASTINGS DR
FORT SALONGA, NY 11768-2509
Phone number: 631-239-1767
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