Individual provider · Type 1 NPI

Edward J. Modica, ATC, EMT-B

Specialist · Massapequa, NY

NPI number 1821312331 Active

Practice location

434 N Bleecker Dr
Massapequa, NY 11758-1340

Call (516) 721-6541 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X000370-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821312331

Edward J. Modica, ATC, EMT-B's National Provider Identifier is 1821312331, issued on Mar 26, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Mar 26, 2010.