Mordukhay, Edward

Mordukhay, Edward is an sole proprietor health care provider with primary practice located at 6393 Fitchett St , Rego Park NY 11374-4830. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mordukhay, Edward can be contacted via phone (917) 846-9645.

Contact Information

Primary practice address
6393 Fitchett St Rego Park NY 11374-4830
Phone: (917) 846-9645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022991 New York

Profile Details

NPI number 1811017569
LBN Legal business name Mordukhay, Edward
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811017569 NPPES
New York MEDICAID 02623265

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