Individual
DR. RANI JACOB MODAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8226 252ND ST, BELLEROSE, NY 11426-2532
(718) 470-0223
Mailing address
8226 252ND ST, BELLEROSE, NY 11426-2532
(718) 470-0223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
273930
NY
Other
Enumeration date
05/22/2012
Last updated
03/03/2021
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