NPI 1023764412
Antoinette Modeste
Practice location
- Address
- 1408b Clintonville St, Whitestone, NY 11357-1861
- Phone
- (516) 780-0770
- Fax
- (718) 764-1238
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1023764412
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Feb 2022
- Record last updated
- 24 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.