Individual
ANVI MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1169 WANTAGH AVE, WANTAGH, NY 11793-2136
(516) 785-4800
(516) 785-4804
Mailing address
1169 WANTAGH AVE, WANTAGH, NY 11793-2136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052100
NY
2251X0800X
Orthopedic Physical Therapist
40QA01652700
NJ
Other
Enumeration date
02/26/2016
Last updated
05/22/2024
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