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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811017569 | NPPES |
| New York | MEDICAID | 02623265 |
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