Amiela Mordukhayev
NPI #1053279265 in Middle Village, New York
Provider Information
- NPI Number
- 1053279265
- Entity Type
- Individual
- Name
- Amiela Mordukhayev
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 14, 2026
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 6366 79TH ST
- City
- Middle Village
- State
- New York
- ZIP Code
- 11379-1310
- Phone
- (917) 655-1198
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