Individual
IPPOLITO MODICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(917) 697-9419
(212) 523-5435
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(917) 697-9419
(212) 523-5435
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
60-246899
NY
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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