Organization
DR.ANTHONY MODESTO OD PC
Active
Other names
advanced eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MODESTO OD (OPTOMETRIST/PRESIDENT)
(631) 642-8400
Entity
Organization
Contact information
Practice address
385 ROUTE 25A UNIT 6, MILLER PLACE, NY 11764-2501
(631) 642-8400
(631) 642-8403
Mailing address
385 ROUTE 25A UNIT 6, MILLER PLACE, NY 11764-2501
(631) 642-8400
(631) 642-8403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003195
NY
Other
Enumeration date
08/10/2007
Last updated
05/27/2008
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