Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Medical PC

Organization Primary Care Clinic/Center · NPI 1417057951

Modern Medical PC provides Primary Care Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 Broadway Ste 910
New York, NY 10007-3008
Phone: (212) 571-5000
Fax: (212) 571-5001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 215006 (NY)

Record details

NPI number1417057951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Kleyn — Md · (212) 571-5000
NPI enumeratedSeptember 24, 2006
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address225 Broadway Ste 910, New York, NY 10007-3008

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