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Modern Medical Practice Pllc
Medical Specialty Clinic/Center in Hastings On Hudson, New York
NPI 1760521959

Modern Medical Practice Pllc is a Medical Specialty Clinic/Center based in Hastings On Hudson, NY and is specialized in Medical Specialty. Modern Medical Practice Pllc practices in Hastings On Hudson, NY. The NPI Number for Modern Medical Practice Pllc is 1760521959 and holds a License No. 238747 1 (New York).

The current practice location address for Modern Medical Practice Pllc is 30 Main St Fl 1, Hastings On Hudson, NY and can be reached out via phone at 914-478-5121 and via fax at 866-862-1608.

Location: 30 Main St Fl 1, Hastings On Hudson, NY, 10706-0110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760521959
Provider Name
Modern Medical Practice Pllc
Credential
Provider Entity Type
Organization
Address
30 Main St Fl 1, Hastings On Hudson, NY, 10706-0110
Phone Number
914-478-5121
Fax Number
866-862-1608
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
439 AK1 01 NY BLUE CROSS
P3563394 01 NY OXFORD
02794461 05 NY
11178594 01 NY CAQH
4798435 01 NY GHI
0127711 01 NY GHI
12499367 01 NY AETNA HMO
7693186 01 NY AETNA PPO
796340 01 NY MVP
CDPHP 01 NY 10110969AP39
institution
Provider Business Practice Location Address Details
Address
30 Main St Fl 1
City
Hastings On Hudson
State
New York
Zip
10706-1602
Phone Number
914-478-5121
Fax Number
866-862-1608
person
Provider Business Mailing Address Details
Address
30 Main St Fl 1
City
Hastings On Hudson
State
New York
Zip
10706-1602
Phone Number
914-478-5121
Fax Number
866-862-1608
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
238747 1 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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