Organization · Type 2 NPI
Supaporn Pathumanon Inc
Psychiatric/Mental Health Nurse Practitioner · Larchmont, NY
NPI number
1689583924
Active
Practice location
814 Larchmont Acres Apt D
Larchmont, NY 10538-7370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Larchmont
About NPI 1689583924
Supaporn Pathumanon Inc's National Provider Identifier is 1689583924, issued on Sep 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Larchmont, NY. The record was last updated on Sep 2, 2026.