Poulos, Catherine

Poulos, Catherine is an sole proprietor health care provider with primary practice located at 332 W Montauk Hwy Ste 5 , Hampton Bays NY 11946-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Poulos, Catherine can be contacted via phone (631) 495-3300.

Contact Information

Primary practice address
332 W Montauk Hwy Ste 5 Hampton Bays NY 11946-3551
Phone: (631) 495-3300
Fax: (631) 822-2833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F-401489 New York

Profile Details

NPI number 1396997672
LBN Legal business name Poulos, Catherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2008
Last updated Jan 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396997672 NPPES
New York MEDICAID 0379L760

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