Modruson, Antonella

Modruson, Antonella is an individual health care provider with primary practice located at 144 Covert Ave , Elmont NY 11003-1138. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Modruson, Antonella can be contacted via phone (516) 326-5560.

Contact Information

Primary practice address
144 Covert Ave Elmont NY 11003-1138
Phone: (516) 326-5560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 58 015880 New York

Profile Details

NPI number 1750698080
LBN Legal business name Modruson, Antonella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 16 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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