MEDICARE: ADVANCED ADULT HEALTH NP, PC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1174804454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ADULT HEALTH NP, PC.

Provider Business Mailing Address
First Line	:	2109 MATTHEWS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-2614
Country	:	US
Telephone Number	:	718-794-1000
Fax Number	:	718-794-5264

Provider Business Practice Location Address
First Line	:	2109 MATTHEWS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-2614
Country	:	US
Telephone Number	:	718-794-1000
Fax Number	:	718-794-5264

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ERIK P MORDUKHAYEV
Credential	:	NP
Telephone Number	:	718-794-1000

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	09/02/2011

Similar Medicare Providers

1477188472 — DR RODIONOVA MEDICAL SERVICES PC
Practice Location Address:

2109 MATTHEWS AVE
BRONX, NY
10462-2614

Practice Phone: 718-794-1000
Practice Fax: 718-684-4307

1225857485 — BARBARA DADZIE
Practice Location Address:

2109 MATTHEWS AVE
BRONX, NY
10462-2614

Practice Phone: 718-794-1000
Practice Fax:

1184917726 — BE PIETROS PMHNP
Practice Location Address:

2614 HALPERIN AVE
BRONX, NY
10461

Practice Phone: 718-583-7736
Practice Fax:

1659648996 — CHIDINMA EZEKWE
Practice Location Address:

1314 MERRIAM AVE APT 7A
BRONX, NY
10452-2614

Practice Phone: 646-363-5557
Practice Fax:

1013345842 — EKOUE FOLLIKOUE
Practice Location Address:

352 E 139TH ST APT 1E
BRONX, NY
10454-2614

Practice Phone: 929-541-0201
Practice Fax:

1528486966 — FRIENDLY CARE PHARMACY INC
Practice Location Address:

2614 DECATUR AVE
BRONX, NY
10458-4804

Practice Phone: 718-584-6561
Practice Fax: 718-584-6571

Directions to “ADVANCED ADULT HEALTH NP, PC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.