Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Adult Health NP, PC

Organization Adult Health Nurse Practitioner · NPI 1174804454

Advanced Adult Health NP, PC is an Adult Health Nurse Practitioner in Bronx, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2109 Matthews Ave
Bronx, NY 10462-2614
Phone: (718) 794-1000
Fax: (718) 794-5264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1174804454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erik Mordukhayev — President · (718) 794-1000
NPI enumeratedAugust 31, 2011
Last updated in NPPESSeptember 2, 2011
Mailing address2109 Matthews Ave, Bronx, NY 10462-2614

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