Organization
MODERN MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OXANA POPESCU MD (OFFICER)
(917) 627-7591
Entity
Organization
Contact information
Practice address
30 MAIN ST FL 1, HASTINGS ON HUDSON, NY 10706-1602
(914) 478-5121
(866) 862-1608
Mailing address
PO BOX 110, HASTINGS ON HUDSON, NY 10706-0110
(914) 478-5121
(866) 862-1608
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
238747 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127711
GHI
NY
05
—
02794461
—
NY
01
—
11178594
CAQH
NY
01
—
12499367
AETNA HMO
NY
01
—
439 AK1
BLUE CROSS
NY
01
—
4798435
GHI
NY
01
—
7693186
AETNA PPO
NY
01
—
796340
MVP
NY
01
—
CDPHP
10110969AP39
NY
01
—
P3563394
OXFORD
NY
Enumeration date
02/05/2007
Last updated
10/17/2023
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