Antonella Modruson

Speech-Language Pathologist · Elmont, NY

Individual Active NPI

NPI number 1750698080

Practice location

144 Covert Ave
Elmont, NY 11003-1138
Phone
(516) 326-5560

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NPI record

NPI
1750698080
Entity type
Individual (Type 1)
Enumeration date
September 8, 2010
Last updated
September 8, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 58 015880 NY

Mailing address

26 Hastings Dr
Fort Salonga, NY 11768-2509
Phone
(631) 239-1767

About Antonella Modruson

Antonella Modruson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 144 Covert Ave, Elmont, NY 11003-1138. The NPI number 1750698080 was assigned on September 8, 2010 and the record was last updated on September 8, 2010.

Antonella Modruson lists a license in the registry: #58 015880 (NY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Antonella Modruson?

The NPI number is 1750698080.

What is the phone number of Antonella Modruson?

The phone number listed for the practice location is (516) 326-5560.

Where is Antonella Modruson located?

144 Covert Ave, Elmont, NY 11003-1138.

What is the taxonomy code for Antonella Modruson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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