Individual
DR. MORTEZA MODABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13420 JAMAICA AVE FL 1, JAMAICA, NY 11418-2619
(718) 206-6742
(718) 206-6905
Mailing address
8906 135TH ST, JAMAICA, NY 11418-2828
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
308245
NY
2084V0102X
Vascular Neurology Physician
308245
NY
Other
Enumeration date
04/18/2016
Last updated
11/19/2025
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