Individual
DR. CHARLES POUPONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147-20 ARCHER AVENUE, JAMAICA, NY 11435
(718) 291-1888
(718) 291-0557
Mailing address
147-20 ARCHER AVENUE, JAMAICA, NY 11435
(718) 291-1888
(718) 291-0557
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
187369
NY
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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