Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Podiatric Care PC

Organization Podiatrist · NPI 1023299674

Modern Podiatric Care PC is a Podiatrist in Queens Village, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9204 Springfield Blvd
Queens Village, NY 11428-1857
Phone: (718) 465-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 005629 (NY)

Record details

NPI number1023299674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nwakanma — Physican · (718) 465-3040
NPI enumeratedNovember 23, 2007
Last updated in NPPESJanuary 5, 2009
Mailing address11620 190th St, Saint Albans, NY 11412-3132

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