Individual
DEEPIKA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216-07 SAWYER AVENUE, HOLLIS HILLS, NY 11427
(646) 567-8524
Mailing address
216-07 SAWYER AVENUE, HOLLIS HILLS, NY 11427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014891
NY
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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