Individual
MS. CATHERINE POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
332 W MONTAUK HWY STE 5, HAMPTON BAYS, NY 11946-3551
(631) 495-3300
(631) 822-2833
Mailing address
332 W MONTAUK HWY STE 5, HAMPTON BAYS, NY 11946-3551
(631) 495-3300
(631) 822-2833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F-401489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379L760
—
NY
Enumeration date
10/16/2008
Last updated
01/08/2023
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