Moderno, Matthew

Moderno, Matthew is an sole proprietor health care provider with primary practice located at 2789 Milburn Ave , Baldwin NY 11510-4119. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Moderno, Matthew can be contacted via phone (516) 457-7371.

Contact Information

Primary practice address
2789 Milburn Ave Baldwin NY 11510-4119
Phone: (516) 457-7371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 028230 New York

Profile Details

NPI number 1104563063
LBN Legal business name Moderno, Matthew
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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