Individual provider · Type 1 NPI
Amiela Mordukhayev
Family Nurse Practitioner · Middle Village, NY
NPI number
1053279265
Active
Practice location
6366 79th St
Middle Village, NY 11379-1310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 358757 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053279265
Amiela Mordukhayev's National Provider Identifier is 1053279265, issued on Jan 14, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middle Village, NY. The record was last updated on Jan 27, 2026.