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Individual

DR. VIKASH K MODI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
428 E 72ND ST OFC 100, NEW YORK, NY 10021-4635
(646) 962-4780
Mailing address
428 E 72ND ST OFC 100, NEW YORK, NY 10021-4635
(646) 962-4780

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
249105
NY

Other

Enumeration date
01/09/2007
Last updated
12/12/2024
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