Organization
PM PEDIATRIC CARE - NEW YORK, P.C.
Active
Other names
PM PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE LOPEZ (DIRECTOR OF CREDETNIALING/ENROLLMEN)
(516) 207-7936
Entity
Organization
Contact information
Practice address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 869-0650
(516) 869-0650
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
—
261Q00000X
Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/01/2022
Last updated
08/04/2025
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