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IGOR KHODAK M.D.
NPI 1073963252
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 17, 2016
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2023, Nov 9, 2020, Nov 4, 2020 and 1 more (4 updates tracked since 2016).

About Igor Khodak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IGOR KHODAK M.D. (NPI 1073963252) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2016. He maintains a secondary practice location in Mineola.

NPPES Registry Identity

NPI1073963252
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIGOR KHODAKCredential: M.D.
Location Address601 ELMWOOD AVERochester, NY 14642-3957
Mailing Address400 Shady Run Ln Unit 416Rochester, NY 14625-2357 · (718) 578-8540
Phone(585) 275-2100
Sole ProprietorNo
Enumeration DateJune 17, 2016
Last NPPES UpdateNovember 9, 20204 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1073963252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVE, Rochester, NY 14642
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Secondary Practice Location 1

Location 1259 1st StMineola, NY 11501-3957 · Phone (516) 663-8443 · Fax (516) 663-8955

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Igor Khodak's NPI number?

The NPI number for Igor Khodak is 1073963252. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Igor Khodak located?

Igor Khodak practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Igor Khodak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Igor Khodak was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.