Provider Demographics
NPI:1003450487
Name:MURDAKHAYEV, ARKADIY ABRAHAM (NP)
Entity Type:Individual
Prefix:
First Name:ARKADIY
Middle Name:ABRAHAM
Last Name:MURDAKHAYEV
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 103RD ST APT 6G
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2021
Mailing Address - Country:US
Mailing Address - Phone:646-387-5808
Mailing Address - Fax:
Practice Address - Street 1:6625 103RD ST APT 6G
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2021
Practice Address - Country:US
Practice Address - Phone:646-387-5808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431551363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care