Individual
JOEY MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
66 BOERUM PL FL 1, BROOKLYN, NY 11201-5705
(718) 522-6011
Mailing address
66 BOERUM PLACE, 1ST FLOOR, BROOKLYN, NY 11201
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
0021061
NY
Other
Enumeration date
05/10/2017
Last updated
05/11/2017
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