EDWARD J MODICA

MASSAPEQUA, NY
NPI1821312331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  000370-1)
Enumeration Date2010-03-26
Last Update Date2010-03-26
Business Address
Mr. EDWARD J MODICA ATC,EMT-B
434 N BLEECKER DR
MASSAPEQUA, NY 11758-1340
Phone number: 516-721-6541
Mailing Address
Mr. EDWARD J MODICA ATC,EMT-B
434 N BLEECKER DR
MASSAPEQUA, NY 11758-1340
Phone number: 516-721-6541
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