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

Nyc Modern Gynecology PLLC

Organization Obstetrics & Gynecology Physician · NPI 1407773526

Nyc Modern Gynecology PLLC is an Obstetrics & Gynecology Physician in Bronx, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1624 Dr Martin L King Jr Blvd
Bronx, NY 10453-6948
Phone: (718) 294-3725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1407773526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desrene Brown — Owner · (419) 721-4026
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address839 Duncan Dr, Westbury, NY 11590-1404

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