Individual
DR. RENEE MADATHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3271
(585) 442-2949
Mailing address
601 ELMWOOD AVE BOX 664, ROCHESTER, NY 14642-0001
(585) 784-9035
(585) 784-6064
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
022028
NY
103G00000X
Clinical Neuropsychologist
22028
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2014
Last updated
06/29/2023
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