Individual
ANJALI MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W 26TH ST, SUITE 602, NEW YORK, NY 10001-6803
(212) 604-9630
Mailing address
6135 98TH ST, 4E, REGO PARK, NY 11374-1426
(646) 725-5800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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