Search › New York › 207W00000X
Rajendra Modi, M.D
NPI 1902895733 · on the registry since 2005 · sole proprietor
Practice
- Address
- 55-44 Metropolitan Avenue
Ridgewood, NY 11385 - Phone
- (718) 456-2020
- Fax
- (718) 821-5342
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York