Individual provider · Type 1 NPI

Edward Joseph Modica Jr., DO

Student in an Organized Health Care Education/Training Program · Huntington, NY

NPI number 1245090034 Active

Practice location

270 Park Ave
Huntington, NY 11743-2787

Call (631) 351-2236 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1245090034

Edward Joseph Modica Jr., DO's National Provider Identifier is 1245090034, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, NY. The record was last updated on Mar 20, 2024.