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

Modern Podiatric Care PC

Organization Podiatrist · NPI 1023299674

Modern Podiatric Care PC provides Podiatrist services in Queens Village, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

9204 Springfield Blvd
Queens Village, NY 11428-1857 Not confirmed with CMS for 17 years — call before visiting
Phone: (718) 465-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 005629 (NY)

Record details

NPI number1023299674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nwakanma — Physican · (718) 465-3040
NPI enumeratedNovember 23, 2007
Last updated in NPPESJanuary 5, 2009
Mailing address11620 190th St, Saint Albans, NY 11412-3132

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