Organization
MEDICALLY MODERN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY DEUTSCH (OWNER)
(201) 589-7214
Entity
Organization
Contact information
Practice address
2093 WANTAGH AVE, WANTAGH, NY 11793-3913
(347) 503-7148
(347) 503-7148
Mailing address
2093 WANTAGH AVE, WANTAGH, NY 11793-3913
(347) 503-7148
(347) 503-7148
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
09/14/2025
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