# CHUKWUKA S MORDI, NP PSYCHIATRY PC

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

## Provider details

- **NPI number:** 1720602691
- **Authorized official:** DR. CHUKWUKA MORDI FPMHNP (DIRECTOR OF PSYCHIATRY)
- **Authorized official phone:** (347) 693-4311

## Contact information

- **Practice address:** 24101 NEWHALL AVE, ROSEDALE, NY 11422-2408
- **Practice address phone:** (347) 693-4311
- **Mailing address:** 32 N MONTAGUE ST, VALLEY STREAM, NY 11580-3708
- **Mailing address phone:** (347) 693-4311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 06/05/2020