# NYC MODERN GYNECOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407773526
- **Authorized official:** DESRENE BROWN MD (OWNER)
- **Authorized official phone:** (419) 721-4026

## Contact information

- **Practice address:** 1624 DR MARTIN L KING JR BLVD, BRONX, NY 10453-6948
- **Practice address phone:** (718) 294-3725
- **Mailing address:** 839 DUNCAN DR, WESTBURY, NY 11590-1404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2026
- **Last updated:** 06/30/2026