Kevin Modera
Kevin Modera is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
330 Hudson StNew York, NY 10013-1046
Phone: (510) 908-3718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 065207 (NY) |
|---|
Record details
| NPI number | 1649963505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 29, 2023 |
| Last updated in NPPES | May 19, 2026 |
| Certification date | May 19, 2026 |
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