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1811539315
ANNELISE MODICA
BUFFALO, NY
NPI
1811539315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044925)
Enumeration Date
2019-10-16
Last Update Date
2024-09-03
Business Address
ANNELISE MODICA PT DPT
3767 DELAWARE AVE
BUFFALO, NY 14217-1040
Phone number: 716-874-6175
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Mailing Address
ANNELISE MODICA PT DPT
3767 DELAWARE AVE
BUFFALO, NY 14217-1040
Phone number: 716-874-6175
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