Individual
ALEXANDER MORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16020 WILLETS POINT BLVD, WHITESTONE, NY 11357-3342
(718) 279-4300
Mailing address
1303 209TH ST, BAYSIDE, NY 11360-1123
(718) 279-4300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
152102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00971857
—
NY
01
—
152102
LICENSE NUMBER
NY
Enumeration date
10/12/2006
Last updated
12/28/2009
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