# ADULT HEALTH NP NYC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073250957
- **Authorized official:** MOISEY SIMKHAYEV (CEO)
- **Authorized official phone:** (646) 559-6699

## Contact information

- **Practice address:** 4047 95TH ST APT B, ELMHURST, NY 11373-1715
- **Practice address phone:** (646) 559-6699
- **Mailing address:** 9930 64TH RD, REGO PARK, NY 11374-2646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2022
- **Last updated:** 02/05/2025
