Catherine Poulos Psychiatric Nurse Practitioner PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Southampton, NY
NPI 1457790198 · NPPES record last updated Jun 16, 2013
Key facts
- NPI
- 1457790198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- F401489-1 (NY)
- Legal business name
- CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC
- Practice address
- 349 Meeting House LN
Southampton, NY 11968-5051 - Phone
- (631) 495-3300
- Fax
- (631) 822-2833
- NPI assigned
- Jun 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Catherine Poulos, NPP
- Title
- Nurse Practitioner
- Phone
- (631) 495-3300
National Provider Directory
Locations
332 W Montauk Hwy
Ste 5
Hampton Bays, NY 11946
Phone (631) 495-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | F401489-1 | NY | Yes |
Addresses
Primary practice location
349 Meeting House LN
Southampton, NY 11968-5051
Mailing address
349 Meeting House LN
Southampton, NY 11968-5051
Phone (631) 495-3300
Other providers in Southampton, NY
- Christine Cantrell
- David Capone
- Colleen Carter
- Michelle T. Cartier
- Rebecca Diane Casabianca
- Giovanni Cervini
- Marianne Elizabeth Charest
- Charlie Tan Cheng
- Carmen Chinea
- Nicholas Chiofalo
All providers in Southampton, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.