Organization
DMV HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MODNYY (PRESIDENT)
(917) 364-2650
Entity
Organization
Contact information
Practice address
672 BRITTON AVE, STATEN ISLAND, NY 10304-4436
(917) 364-2650
Mailing address
672 BRITTON AVE, STATEN ISLAND, NY 10304-4436
(917) 364-2650
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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