Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward J Modica, ATC, EMT-B

Individual provider Specialist · NPI 1821312331

Mr. Edward J Modica, ATC, EMT-B is a Specialist in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

434 N Bleecker Dr
Massapequa, NY 11758-1340
Phone: (516) 721-6541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 000370-1 (NY)

Record details

NPI number1821312331
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , EMT-B
Sole proprietorYes
NPI enumeratedMarch 26, 2010
Last updated in NPPESMarch 26, 2010

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