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Organization
ADVANCED ADULT HEALTH NP, PC.
Active
Organization
ADVANCED ADULT HEALTH NP, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK P MORDUKHAYEV NP (PRESIDENT)
(718) 794-1000
Entity
Organization
Contact information
Practice address
2109 MATTHEWS AVE, BRONX, NY 10462-2614
(718) 794-1000
(718) 794-5264
Mailing address
2109 MATTHEWS AVE, BRONX, NY 10462-2614
(718) 794-1000
(718) 794-5264
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
09/02/2011
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