License holder summary

TALLAJ RAMON MODESTO is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for TALLAJ RAMON MODESTO is NEW YORK NY. This doctor license is current. The license was granted 10/17/1996 and expired on 12/31/2015.

New York

Office of the Professions

TALLAJ RAMON MODESTO
Medicine (Physician, Including M Ds & D Os)
License number
204704
Date granted
10/17/1996
Date expires
12/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30292987
LAST UPDATED 2024-04-26 00:30:01 UTC

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