| Louis E Mora Phd Psychologist Pc | |
|
70 Glen Cove Rd Ste 201 Roslyn Heights NY 11577-1730 | |
| (347) 740-5690 | |
| Not Available |
| Full Name | Louis E Mora Phd Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 70 Glen Cove Rd Ste 201, Roslyn Heights, New York |
| Authorized Official Name and Position | Louis Mora (OWNER) |
| Authorized Official Contact | 3477405690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis E Mora Phd Psychologist Pc 70 Glen Cove Rd Ste 201 Roslyn Heights NY 11577-1730 Ph: () - | Louis E Mora Phd Psychologist Pc 70 Glen Cove Rd Ste 201 Roslyn Heights NY 11577-1730 Ph: (347) 740-5690 |
| NPI Number | 1902141328 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 7315192960 |
|---|---|
| Medicare Enrollment ID | O20130305000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902141328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 018957-1 (New York) | Primary |
| Provider Name | Louis E Mora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336484112 PECOS PAC ID: 8224283874 Enrollment ID: I20130305000147 |
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