| Pm Pediatrics Bh, P.c. (nj Entity) | |
|
1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 | |
| (516) 207-7851 | |
| (516) 207-7851 |
| Full Name | Pm Pediatrics Bh, P.c. (nj Entity) |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1 Hollow Ln Ste 301, New Hyde Park, New York |
| Authorized Official Name and Position | Marlena Simpson (SR. DIRECTOR, CRED & ENROLLMENT) |
| Authorized Official Contact | 5162077851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pm Pediatrics Bh, P.c. (nj Entity) 1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 Ph: (516) 207-7851 | Pm Pediatrics Bh, P.c. (nj Entity) 1 Hollow Ln Ste 301 New Hyde Park NY 11042-1215 Ph: (516) 207-7851 |
| NPI Number | 1699438432 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699438432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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