Individual
PEMA ONGMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4142
Mailing address
3119 NEWTOWN AVE STE 405, ASTORIA, NY 11102-1392
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407161
NY
Other
Enumeration date
02/05/2025
Last updated
11/22/2025
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