Individual
MR. ERIK P MORDUKHAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1042 FLATBUSH AVE, BROOKLYN, NY 11226-5428
(718) 635-0000
Mailing address
6361 FITCHETT ST, REGO PARK, NY 11374-2811
(646) 334-1324
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
303815
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F303815
NY
Other
Enumeration date
11/16/2006
Last updated
06/04/2024
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