MODERN PHYSICIAN SERVICES PC NPI 1932590601

NPI Information

  • NPI: 1932590601
  • Provider Name: MODERN PHYSICIAN SERVICES PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • :
  • CLIA Number: 33D2118450
  • Address: 68 GRAHAM AVE
    BROOKLYN, NY
    ZIP 11206
  • Phone: (644) 593-8773

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NPI Details

MODERN PHYSICIAN SERVICES PC is an urgent care clinic center in Brooklyn, NY. MODERN PHYSICIAN SERVICES PC NPI is 1932590601. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

68 GRAHAM AVE
BROOKLYN, NY
ZIP 11206-017
Phone: (644) 593-8773
Fax: (417) 429-2893

The provider's authorized official is Andrew Shulman .
The authorized official title is Ceo and has the following contact phone number (646) 741-1511.

The CLIA number assigned to this NPI record is 33D2118450 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 6/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency CareNo
2261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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