Moder, Ambryel Marie

Moder, Ambryel Marie is an sole proprietor health care provider with primary practice located at 35 Longwood Rd , Middle Island NY 11953-2045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Moder, Ambryel Marie can be contacted via phone (631) 924-0008.

Contact Information

Primary practice address
35 Longwood Rd Middle Island NY 11953-2045
Phone: (631) 924-0008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X P07796 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 022276 New York

Profile Details

NPI number 1124546155
LBN Legal business name Moder, Ambryel Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2017
Last updated Mar 17th, 2018 - about 8 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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