Individual
DHRUV B MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5211
(315) 393-5781
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5211
(315) 393-5781
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
272660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03921102
—
NY
Enumeration date
07/14/2010
Last updated
09/21/2022
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