Amiela Mordukhayev
Amiela Mordukhayev is a Nurse Practitioner in Middle Village, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
6366 79th StMiddle Village, NY 11379-1310
Phone: (917) 655-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 358757 (NY) |
|---|
Record details
| NPI number | 1053279265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2026 |
| Last updated in NPPES | January 27, 2026 |
| Certification date | January 27, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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