Mordukhayev, Amiela
Mordukhayev, Amiela is an sole proprietor health care provider with primary practice located at 6366 79Th St , Middle Village NY 11379-1310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mordukhayev, Amiela can be contacted via phone (917) 655-1198.Contact Information
Primary practice address
6366 79Th St
Middle Village NY 11379-1310
Phone: (917) 655-1198
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 358757 | New York |
Profile Details
| NPI number | 1053279265 |
|---|---|
| LBN Legal business name | Mordukhayev, Amiela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2026 |
| Last updated | Jan 27th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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