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Organization
CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization
CATHERINE POULOS PSYCHIATRIC NURSE PRACTITIONER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE POULOS NPP (NURSE PRACTITIONER)
(631) 495-3300
Entity
Organization
Contact information
Practice address
349 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5051
(631) 495-3300
(631) 822-2833
Mailing address
349 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5051
(631) 495-3300
(631) 822-2833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401489-1
NY
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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