Organization
LOUIS E MORA PHD PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS MORA (OWNER)
(347) 740-5690
Entity
Organization
Contact information
Practice address
70 GLEN COVE RD STE 201, ROSLYN HEIGHTS, NY 11577-1730
(347) 740-5690
Mailing address
70 GLEN COVE RD STE 201, ROSLYN HEIGHTS, NY 11577-1730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018957-1
NY
Other
Enumeration date
12/11/2012
Last updated
03/07/2013
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