Maxwell Joseph Modrak, MD - Rochester, NY

Maxwell Joseph Modrak, MD

Student in an Organized Health Care Education/Training Program in Rochester, New York

NPI 1013560846

Maxwell Joseph Modrak is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Maxwell Joseph Modrak practices in Rochester, NY and has the professional credentials of MD. The NPI Number for Maxwell Joseph Modrak is 1013560846 and holds a License No. (New York).

The current practice location address for Maxwell Joseph Modrak is 601 Elmwood Ave, Rochester, NY and can be reached out via phone at 585-275-2100.

Location: 601 Elmwood Ave, Rochester, NY, 14620-4521

NPI Number

1013560846

Provider Name

Maxwell Joseph Modrak

Credential

Provider Entity Type

Individual

Gender

Male

Address

601 Elmwood Ave, Rochester, NY, 14620-4521

Phone Number

585-275-2100

Fax Number

Provider Enumeration Date

07/21/2019

Last Update Date

03/10/2024

Address

601 Elmwood Ave

City

Rochester

State

New York

Zip

14642-0001

Phone Number

585-275-2100

Fax Number

Address

601 Elmwood Ave

City

Rochester

State

New York

Zip

14642-0001

Phone Number

585-275-2100

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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