Individual provider · Type 1 NPI

Pamela Mock

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1104077486 Active

Practice location

1301 5th Ave
New York, NY 10029-3119

Mailing address

2308 21st Ave, Apt 2
Astoria, NY 11105-3340

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104077486

Pamela Mock's National Provider Identifier is 1104077486, issued on Oct 6, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Oct 6, 2008.