person
Anthony Modica
Student in an Organized Health Care Education/Training Program in Huntington, New York
NPI 1114787900

Anthony Modica is a Student in an Organized Health Care Education/Training Program based in Huntington, NY. Anthony Modica practices in Huntington, NY. The NPI Number for Anthony Modica is 1114787900 and holds a License No. (New York).

The current practice location address for Anthony Modica is 270 Park Ave, Huntington, NY and can be reached out via phone at 631-351-2236.

Location: 270 Park Ave, Huntington, NY, 11743-2787
person
Provider Profile Details
NPI Number
1114787900
Provider Name
Anthony Modica
Credential
Provider Entity Type
Individual
Gender
Male
Address
270 Park Ave, Huntington, NY, 11743-2787
Phone Number
631-351-2236
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
270 Park Ave
City
State
Zip
11743-2787
Phone Number
631-351-2236
Fax Number
person
Provider Business Mailing Address Details
Address
270 Park Ave
City
State
Zip
11743-2787
Phone Number
631-351-2236
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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