Individual
MR. MORDECAI ERPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, 5TH FLOOR, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
1420 OCEAN PKWY, APT 3D, BROOKLYN, NY 11230-6454
(718) 338-8688
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
585080
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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