MARY ALICE POUPON

NEW YORK, NY
NPI1073949509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  002708)
Additional Taxonomies364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: CT  002708)
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: NY  7903263)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  7903263)
Enumeration Date2013-09-16
Last Update Date2025-04-30
Business Address
Ms. MARY ALICE POUPON NPP
109 W 27TH ST RM 5S
NEW YORK, NY 10001-6208
Phone number: 833-351-8255
Mailing Address
Ms. MARY ALICE POUPON NPP
16 GEORGES HILL RD
NEWTOWN, CT 06470-1036
Phone number: 203-364-7000