Search › New York › 152W00000X
Anthony Modesto, OD
NPI 1851478259 · on the registry since 2006 · sole proprietor
Practice
- Address
- 385 Route 25a
Suite 6
Miller Place, NY 11764 - Phone
- (631) 642-8400
- Fax
- (631) 642-8403
- Organisation at this address
- 200 West Optics, Llc
Dr.Anthony Modesto Od PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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