| Parent Information Exchange | |
|
1040 Owasco Rd West Hempstead NY 11552-4221 | |
| (516) 425-1905 | |
| Not Available |
| Full Name | Parent Information Exchange |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1040 Owasco Rd, West Hempstead, New York |
| Authorized Official Name and Position | Glenda Momrelle (FOUNDER) |
| Authorized Official Contact | 3473440378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parent Information Exchange 1040 Owasco Rd West Hempstead NY 11552-4221 Ph: (516) 425-1905 | Parent Information Exchange 1040 Owasco Rd West Hempstead NY 11552-4221 Ph: (516) 425-1905 |
| NPI Number | 1417612755 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417612755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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