Modica, Paul
Modica, Paul is an individual health care provider with primary practice located at 243 North Rd Suite 304, Poughkeepsie NY 12601-1172. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Modica, Paul can be contacted via phone (845) 471-9410.Contact Information
Primary practice address
243 North Rd Suite 304
Poughkeepsie NY 12601-1172
Phone: (845) 471-9410
Fax: (845) 451-7757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 187853 | New York |
Profile Details
| NPI number | 1811997034 |
|---|---|
| LBN Legal business name | Modica, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 24th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811997034 | NPPES |
| New York | MEDICAID | 01305839 |
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