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Gregg Modell
NPI 1588018626 · on the registry since 2016 · sole proprietor
Practice
- Address
- 366 Wade Rd
Liberty, NY 12754 - Phone
- (845) 693-4232
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York