Healthcare Provider Details

I. General information

NPI: 1235053190
Provider Name (Legal Business Name): MODERN GUIDANCE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 WHITE PLAINS RD
BRONX NY
10467-6404
US

IV. Provider business mailing address

PO BOX 670183
BRONX NY
10467-0815
US

V. Phone/Fax

Practice location:
  • Phone: 718-994-4617
  • Fax: 718-994-0778
Mailing address:
  • Phone: 718-994-4617
  • Fax: 718-994-0778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE SMITH
Title or Position: DIRECTOR
Credential:
Phone: 718-994-4617