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1417057951
MODERN MEDICAL PC
NEW YORK, NY
NPI
1417057951
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Entity Type
Organization
Authorized Contact
ILYA KLEYN
Md
212-571-5000
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: NY 215006)
Enumeration Date
2006-09-24
Last Update Date
2024-09-10
Business Address
MODERN MEDICAL PC
225 BROADWAY STE 910
NEW YORK, NY 10007-3008
Phone number: 212-571-5000
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Mailing Address
MODERN MEDICAL PC
225 BROADWAY STE 1420
NEW YORK, NY 10007-3771
Phone number: 212-571-5000
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