National Provider Identifier
Annelise Modica, PT DPT
Annelise Modica, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1811539315
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 16, 2019
- Last Updated
- September 03, 2024
Practice Location
- 3767 Delaware Ave
- Buffalo, NY 14217-1040
Phone: (716) 874-6175
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1811539315
- Entity Type
- Individual
- Last Name
- Modica
- First Name
- Annelise
- Credential
- PT DPT
- Mailing Street Address
- 3767 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1040
- Mailing Country
- US
- Mailing Phone
- (716) 874-6175
- Mailing Fax
- (716) 874-6175
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Practice Fax
- (716) 874-6175
- Enumeration Date
- October 16, 2019
- Last Updated
- September 03, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 05909820 (NY)