Individual
DR. ASHLEY DORA MODICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 COLUMBUS AVE, SMITHTOWN, NY 11787-4624
(631) 255-6261
Mailing address
19 COLUMBUS AVE, SMITHTOWN, NY 11787-4624
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NY
Other
Enumeration date
05/14/2013
Last updated
07/21/2022
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