Sophia Mae Modica, RN
NPI #1407545577 in Massapequa, New York
Provider Information
- NPI Number
- 1407545577
- Entity Type
- Individual
- Name
- Sophia Mae Modica, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- May 4, 2023
- Last Updated
- May 4, 2023
Practice Location
- Address
- 25 BAY DR
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-7303
- Phone
- (631) 809-1269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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