OrganizationActive
Advanced Adult Health NP, PC.
NPI 1174804454 · Adult Health Nurse Practitioner · Bronx, NY
Provider details
- NPI number
- 1174804454
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Erik Mordukhayev, President(718) 794-1000
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2109 Matthews Ave
Bronx, NY 10462-2614
Phone: (718) 794-1000
Fax: (718) 794-5264
Approximate (ZIP-level) locationGet directions
Mailing address
2109 Matthews Ave
Bronx, NY 10462-2614
Registry dates
- Enumerated
- 2011-08-31
- Last updated
- 2011-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.