Maryanne E Modrak, MD | |
507 Main St, Johnson City, NY 13790-1810 | |
(607) 763-8008 | |
(607) 763-8019 |
Full Name | Maryanne E Modrak |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 507 Main St, Johnson City, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790778876 | NPI | - | NPPES |
01025754 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 162487-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Maryanne E Modrak, MD 33 Lewis Road, 2nd Floor, Binghamton, NY 13903-5227 Ph: (607) 729-8156 | Maryanne E Modrak, MD 507 Main St, Johnson City, NY 13790-1810 Ph: (607) 763-8008 |
Tasnima Ria Elahi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Dr. Michail Vitellas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Suite 250, Johnson City, NY 13790 Phone: 607-770-8600 | |
Galen Graham, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Riverside Dr, Johnson City, NY 13790 Phone: 607-770-7365 Fax: 607-729-5882 | |
James J Vincens, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Ste 250, Johnson City, NY 13790 Phone: 607-770-8600 Fax: 607-770-0853 | |
Parvez Jafri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-6524 | |
Timothy Pak, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Naeem Ijaz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 |