Individual
KATHERINE KUPRENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC; LCSW
Contact information
Practice address
34 W 139TH ST, NEW YORK, NY 10037-1508
(212) 690-7234
Mailing address
34 W 139TH ST, NEW YORK, NY 10037-1508
(212) 690-7234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
091455
NY
174400000X
Specialist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405217
NY
Other
Enumeration date
11/03/2017
Last updated
09/07/2023
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