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Edward Joseph Modica JR., DO
Student in an Organized Health Care Education/Training Program in Huntington, New York
NPI 1245090034

Edward Joseph Modica JR. is a Student in an Organized Health Care Education/Training Program based in Huntington, NY. Edward Joseph Modica JR. practices in Huntington, NY and has the professional credentials of DO. The NPI Number for Edward Joseph Modica JR. is 1245090034 and holds a License No. (New York).

The current practice location address for Edward Joseph Modica JR. 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245090034
Provider Name
Edward Joseph Modica JR.
Credential
DO
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
Huntington
State
New York
Zip
11743-2787
Phone Number
631-351-2236
Fax Number
person
Provider Business Mailing Address Details
Address
270 Park Ave
City
Huntington
State
New York
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
390200000X
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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