MRS. Antonella Modruson

NPI #1750698080 in Elmont, New York

Provider Information

NPI Number
1750698080
Entity Type
Individual
Name
MRS. Antonella Modruson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Sep 8, 2010
Last Updated
Sep 8, 2010

Practice Location

Address
144 COVERT AVE
City
Elmont
ZIP Code
11003-1138
Phone
(516) 326-5560

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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