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1811017569
EDWARD MORDUKHAY
REGO PARK, NY
NPI
1811017569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 022991)
Enumeration Date
2007-03-29
Last Update Date
2007-07-09
Business Address
-- EDWARD MORDUKHAY PT
6393 FITCHETT ST
REGO PARK, NY 11374-4830
Phone number: 917-846-9645
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Mailing Address
-- EDWARD MORDUKHAY PT
6393 FITCHETT ST
REGO PARK, NY 11374-4830
Phone number: 917-846-9645
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