Khodak, Igor
Khodak, Igor is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-3957. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Khodak, Igor can be contacted via phone (585) 275-2100.Contact Information
Primary practice address
601 Elmwood Ave
Rochester NY 14642-3957
Phone: (585) 275-2100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 300485 | New York |
Profile Details
NPI number | 1073963252 |
---|---|
LBN Legal business name | Khodak, Igor |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2016 |
Last updated | Jul 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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