Individual
DR. MORTON N PARDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21 DEVONSHIRE DR, NEW HYDE PARK, NY 11040-3637
(516) 741-1396
Mailing address
21 DEVONSHIRE DR, NEW HYDE PARK, NY 11040-3637
(516) 741-1396
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01776030
—
NY
Enumeration date
09/08/2006
Last updated
07/08/2007
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