Individual
ANNACLAIRE MODICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
330 E 58TH ST, NEW YORK, NY 10022-2262
(631) 662-4750
Mailing address
330 E 58TH ST, NEW YORK, NY 10022-2262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
892665
NY
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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