Individual
MARCLYN MODESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 102ND ST APT 2E, OZONE PARK, NY 11417-2204
(929) 354-1829
Mailing address
10450 102ND ST APT 2E, OZONE PARK, NY 11417-2204
(929) 354-1829
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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