Individual
DR. HOWARD J MODIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
145 MERRITTS RD, FARMINGDALE, NY 11735-3261
(516) 293-0575
Mailing address
14 INTERVALE AVE, FARMINGDALE, NY 11735-5328
(516) 473-3130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036003
NY
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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