| Pm Pediatrics | |
|
1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 | |
| (516) 869-0650 | |
| (516) 869-0650 |
| Full Name | Pm Pediatrics |
|---|---|
| Speciality | Psychologist |
| Location | 1 Hollow Ln Ste 301, New Hyde Park, New York |
| Authorized Official Name and Position | Marlena Simpson (SR. DIRECTOR, CRED & ENROLLMENTS) |
| Authorized Official Contact | 5162077851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pm Pediatrics 1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 Ph: (516) 207-7851 | Pm Pediatrics 1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 Ph: (516) 869-0650 |
| NPI Number | 1912614876 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 3274998976 |
|---|---|
| Medicare Enrollment ID | O20230503000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912614876 | NPI | - | NPPES |
| Provider Name | Jennifer Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427401124 PECOS PAC ID: 2769778174 Enrollment ID: I20160912001544 |
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