Individual
BINITA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 E 149TH ST, BRONX, NY 10455-3901
(718) 485-2100
Mailing address
358 E 149TH ST, BRONX, NY 10455-3901
(718) 485-2100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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