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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P128405 (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.