Dr Ashley Dora Modica, MD | |
19 Columbus Ave, Smithtown, NY 11787-4624 | |
(631) 255-6261 | |
Not Available |
Full Name | Dr Ashley Dora Modica |
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Gender | Female |
Speciality | Surgery |
Location | 19 Columbus Ave, Smithtown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588000897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | (New York) | Primary |
Entity Name | St Charles Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
Entity Name | Long Island Laparoscopic Surgery Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881997724 PECOS PAC ID: 9830523117 Enrollment ID: O20191219000153 |
Mailing Address | Practice Location Address |
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Dr Ashley Dora Modica, MD 19 Columbus Ave, Smithtown, NY 11787-4624 Ph: () - | Dr Ashley Dora Modica, MD 19 Columbus Ave, Smithtown, NY 11787-4624 Ph: (631) 255-6261 |
Dr. Jana Lori Deitch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a Ste 301, Smithtown, NY 11787 Phone: 631-862-3171 | |
Dr. Peter Anthony Andolina, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 895 W Jericho Tpke, Smithtown, NY 11787 Phone: 631-982-2022 Fax: 631-982-2024 | |
Dr. Rashid Javed Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 48 Route 25a, #102, Smithtown, NY 11787 Phone: 631-862-3635 | |
Dr. Nabil Khorshid Kiridly, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 267 E Main St, Bldg- B, Smithtown, NY 11787 Phone: 631-366-2220 Fax: 631-366-1018 | |
John Robinson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 48 Route 25a Ste 102, Smithtown, NY 11787 Phone: 631-360-1720 | |
Dr. Sultan Mohiuddin, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 E Main St, Smithtown, NY 11787 Phone: 631-979-0212 Fax: 631-979-0237 |