Graduated: 2021
NPI: 1093122525
Practice Locations (2)
MODERN PHYSICIAN SERVICES PC
68 GRAHAM AVE
BROOKLYN, NY 112064017
6466048130
MODERN PHYSICIAN SERVICES PC
6721 FRESH POND RD
RIDGEWOOD, NY 113854562
9294689920
Source: CMS National Downloadable File, September 2026.