Organization · Type 2 NPI

Modern Medical Wellness, PLLC

Medical Specialty Clinic/Center · Purchase, NY

NPI number 1790684264 Active

Practice location

3010 Westchester Ave Ste 105
Purchase, NY 10577-2524

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

About NPI 1790684264

Modern Medical Wellness, PLLC's National Provider Identifier is 1790684264, issued on Nov 2, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Purchase, NY. The record was last updated on Nov 2, 2026.