Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Modica

Individual provider Specialist · NPI 1174323380

John Modica is a Specialist in Bethpage, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

3665 Collector Ln
Bethpage, NY 11714-3809
Phone: (516) 749-4501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 4044738 (NY)

Record details

NPI number1174323380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 17, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address1400 Old Country Rd Ste C103n, Westbury, NY 11590-5156

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