| Julie Modavis Lcsw Pllc | |
|
4307 Townehouse Dr Coram NY 11727-2855 | |
| (631) 707-4929 | |
| Not Available |
| Full Name | Julie Modavis Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4307 Townehouse Dr, Coram, New York |
| Authorized Official Name and Position | Julie Modavis (OWNER) |
| Authorized Official Contact | 6317074929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Modavis Lcsw Pllc 4307 Townehouse Dr Coram NY 11727-2855 Ph: (631) 707-4929 | Julie Modavis Lcsw Pllc 4307 Townehouse Dr Coram NY 11727-2855 Ph: (631) 707-4929 |
| NPI Number | 1932928355 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932928355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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