Modather Grain, MD - Rochester, NY

Modather Grain, MD

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

NPI 1619658705

Modather Grain is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Modather Grain practices in Rochester, NY and has the professional credentials of MD. The NPI Number for Modather Grain is 1619658705 and holds a License No. (New York).

The current practice location address for Modather Grain is 1555 Long Pond Rd, Rochester, NY and can be reached out via phone at 585-723-7746 and via fax at 585-723-7834.

Location: 1555 Long Pond Rd, Rochester, NY, 14626-4164

NPI Number

1619658705

Provider Name

Modather Grain

Credential

Provider Entity Type

Individual

Gender

Male

Address

1555 Long Pond Rd, Rochester, NY, 14626-4164

Phone Number

585-723-7746

Fax Number

585-723-7834

Provider Enumeration Date

07/31/2023

Last Update Date

03/10/2024

Address

1555 Long Pond Rd

City

Rochester

State

New York

Zip

14626-4164

Phone Number

585-723-7746

Fax Number

585-723-7834

Address

1555 Long Pond Rd

City

Rochester

State

New York

Zip

14626-4164

Phone Number

585-723-7746

Fax Number

585-723-7834

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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