Healthcare Provider Details

I. General information

NPI: 1740963602
Provider Name (Legal Business Name): MODANI CARE NE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 NININGER RD STE 303
MONROE NY
10950-4276
US

IV. Provider business mailing address

254 NININGER RD STE 303
MONROE NY
10950-4276
US

V. Phone/Fax

Practice location:
  • Phone: 212-402-1061
  • Fax:
Mailing address:
  • Phone: 212-402-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL KRAUSZ
Title or Position: CEO
Credential:
Phone: 212-402-1061