MODERN MEDICAL PC
Ambulatory Health at Broadway, New York, NY

License number
New York 215006
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. ILYA KLEYN
Title: MD
Phone: (212) 571-5000
Address
Address
225 Broadway STE 1420, New York, NY 10007
National Provider ID: 1417057951
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MODERN MEDICAL PC at bizstanding.com

MODERN MEDICAL PC

174 Broadway 3, New York, NY 10038

Registration:
Sep 29, 2003
State ID:
2959367
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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