# MODERN MEDICAL PRACTICE PLLC

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

## Provider details

- **NPI number:** 1760521959
- **Authorized official:** DR. OXANA POPESCU MD (OFFICER)
- **Authorized official phone:** (917) 627-7591

## Contact information

- **Practice address:** 30 MAIN ST FL 1, HASTINGS ON HUDSON, NY 10706-1602
- **Practice address phone:** (914) 478-5121
- **Practice address fax:** (866) 862-1608
- **Mailing address:** PO BOX 110, HASTINGS ON HUDSON, NY 10706-0110
- **Mailing address phone:** (914) 478-5121
- **Mailing address fax:** (866) 862-1608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 238747 1 | NY | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 10/17/2023