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BRIANNE NAVETTA-MODROV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 COMMACK RD STE 103, COMMACK, NY 11725-5020
(631) 444-0580
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
272491
NY

Other

Enumeration date
03/24/2012
Last updated
10/30/2018
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