Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Igor Khodak, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073963252

Igor Khodak, MD is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-3957
Phone: (585) 275-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 1st St, Mineola, NY 11501-3957 — (516) 663-8443

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 300485 (NY)

Record details

NPI number1073963252
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2016
Last updated in NPPESJuly 3, 2023
Certification dateNovember 9, 2020

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