| Chukwuka S Mordi, Np Psychiatry Pc | |
|
24101 Newhall Ave Rosedale NY 11422-2408 | |
| (347) 693-4311 | |
| Not Available |
| Full Name | Chukwuka S Mordi, Np Psychiatry Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 24101 Newhall Ave, Rosedale, New York |
| Authorized Official Name and Position | Chukwuka Mordi (DIRECTOR OF PSYCHIATRY) |
| Authorized Official Contact | 3476934311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chukwuka S Mordi, Np Psychiatry Pc 32 N Montague St Valley Stream NY 11580-3708 Ph: (347) 693-4311 | Chukwuka S Mordi, Np Psychiatry Pc 24101 Newhall Ave Rosedale NY 11422-2408 Ph: (347) 693-4311 |
| NPI Number | 1720602691 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Medicare PECOS PAC ID | 0749605301 |
|---|---|
| Medicare Enrollment ID | O20200730001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720602691 | NPI | - | NPPES |
| Provider Name | Janice Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831499854 PECOS PAC ID: 6002163789 Enrollment ID: I20180726001590 |
| Provider Name | Chukwuka S Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962708529 PECOS PAC ID: 1951726710 Enrollment ID: I20200811000407 |
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