Individual provider · Type 1 NPI

Gregory Edgar Momberger

Mental Health Counselor · New York, NY

NPI number 1396602108 Active

Practice location

1133 Broadway Ste 1028
New York, NY 10010-7984

Mailing address

2450 County Road 28 Apt 11H
Canandaigua, NY 14424-8070

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP128405 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1396602108

Gregory Edgar Momberger's National Provider Identifier is 1396602108, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jan 6, 2026.