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Individual

ACHAL MODI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7700
(646) 289-7791
Mailing address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7700
(646) 289-7791

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042674
NY

Other

Enumeration date
05/22/2019
Last updated
05/22/2019
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