National Provider Identifier
Anne Modlin
Anne Modlin is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (607) 592-2571.
Profile Overview
- NPI
- 1285453050
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- October 08, 2024
- Last Updated
- October 08, 2024
Practice Location
- 215 Utica St
- Ithaca, NY 14850-3653
Phone: (607) 592-2571
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1285453050
- Entity Type
- Individual
- Last Name
- Modlin
- First Name
- Anne
- Mailing Street Address
- 215 Utica St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3653
- Mailing Country
- US
- Practice Street Address
- 215 Utica St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3653
- Practice Country
- US
- Practice Phone
- (607) 592-2571
- Enumeration Date
- October 08, 2024
- Last Updated
- October 08, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)