Organization
CONNECT INTERNAL MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS MORDUKHAEV (MANAGER)
(718) 764-3396
Entity
Organization
Contact information
Practice address
960 WHEELER RD UNIT 5218, HAUPPAUGE, NY 11788-6010
(631) 403-0062
Mailing address
PO BOX 5128, HAUPPAUGE, NY 11788-0128
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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