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1174804454
ADVANCED ADULT HEALTH NP, PC.
BRONX, NY
NPI
1174804454
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Entity Type
Organization
Authorized Contact
ERIK P MORDUKHAYEV
President
718-794-1000
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2011-08-31
Last Update Date
2011-09-02
Business Address
ADVANCED ADULT HEALTH NP, PC.
2109 MATTHEWS AVE
BRONX, NY 10462-2614
Phone number: 718-794-1000
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Mailing Address
ADVANCED ADULT HEALTH NP, PC.
2109 MATTHEWS AVE
BRONX, NY 10462-2614
Phone number: 718-794-1000
Copy
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