| NPI | 1912614876 |
|---|---|
| Doing Business As | PM PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARLENA SIMPSON Sr. Director, Cred & Enrollments 516-207-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TS0200X Psychologist, School | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-04-20 |