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

Maryanne E Modrak, MD

Individual provider Internal Medicine Physician · NPI 1790778876

Maryanne E Modrak, MD is an Internal Medicine Physician in Johnson City, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

507 Main St
Johnson City, NY 13790-1810
Phone: (607) 763-8008
Fax: (607) 763-8019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 162487-1 (NY)

Record details

NPI number1790778876
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESDecember 9, 2015
Mailing address33 Lewis Road, 2nd Floor, Binghamton, NY 13903-5227

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