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Export Provider Record NPI 1255862322
Breanne MordorskiMD
Active
NPI Number1255862322
NPI TypeNPI-1 Individual
SpecialtyStudent in an Organized Health Care Education/Training Program
Provider Details
NPI1255862322
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-03-21
Last Updated2018-04-04
Mailing Address111 E 210th St
Bronx, NY 10467-2401
United States
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Primary Practice Address4802 10th Ave
Brooklyn, NY 11219-2916
United States
Phone: (718) 283-8000
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes390200000X – Student in an Organized Health Care Education/Training Program--
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About NPI 1255862322

Breanne Mordorski MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255862322. The primary specialty listed is Student in an Organized Health Care Education/Training Program. The provider is located in Brooklyn, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-03-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1255862322?

NPI 1255862322 belongs to Breanne Mordorski MD, a Student in an Organized Health Care Education/Training Program in Brooklyn, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1255862322 active?

The current status of NPI 1255862322 in the NPPES registry is Active. The record was last updated on 2018-04-04.

What specialty is NPI 1255862322?

NPI 1255862322 is classified under the taxonomy Student in an Organized Health Care Education/Training Program. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1255862322?

You can verify NPI 1255862322 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1255862322?

The primary practice address on file for NPI 1255862322 is 4802 10th Ave, Brooklyn, NY 11219-2916. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1255862322 issued?

NPI 1255862322 was first issued (enumerated) on 2017-03-21. The NPPES record was last updated on 2018-04-04.

Practice Location Map

Breanne Mordorski is located at 4802 10th Ave, Brooklyn, NY. Use the map below to find directions or verify the practice location.

📍 4802 10th Ave, Brooklyn, NY 11219-2916  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Breanne Mordorski. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162