Individual
DR. SONY ANN MODAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8300
(631) 726-8886
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
284485
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
284485
NY
Other
Enumeration date
04/08/2013
Last updated
10/21/2024
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