Individual
RALUCA MODICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(917) 693-8855
Mailing address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(917) 693-8855
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001079
NY
Other
Enumeration date
10/12/2020
Last updated
03/24/2021
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