| NPI | 1215446778 |
|---|---|
| Doing Business As | MODERN MEDICAL PRACTICE PLLC |
| Entity Type | Organization |
| Authorized Contact | OXANA POPESCU President 917-627-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 238747) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-10-17 |