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Organization
NYC MODERN GYNECOLOGY PLLC
Active
Organization
NYC MODERN GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESRENE BROWN MD (OWNER)
(419) 721-4026
Entity
Organization
Contact information
Practice address
1624 DR MARTIN L KING JR BLVD, BRONX, NY 10453-6948
(718) 294-3725
Mailing address
839 DUNCAN DR, WESTBURY, NY 11590-1404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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