Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 001079 | NY |
Y | 103T00000X | Psychologist | 001079 | NY |
NPI | 1013515139 |
---|---|
Provider Name | Raluca Modica |
First Address | New York, NY 10128-3679 |
Second Address | New York, NY 10128-3679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2020 |
Last Update Date | 24/03/2021 |