Provider Demographics
NPI:1780667287
Name:POPOIU, VERONICA (MSN, NP, PMHNP- BC)
Entity Type:Individual
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First Name:VERONICA
Middle Name:
Last Name:POPOIU
Suffix:
Gender:F
Credentials:MSN, NP, PMHNP- BC
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:595 MAIN ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0053
Mailing Address - Country:US
Mailing Address - Phone:646-732-4649
Mailing Address - Fax:
Practice Address - Street 1:280 MADISON AVE
Practice Address - Street 2:SUITE 610
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0801
Practice Address - Country:US
Practice Address - Phone:647-732-4649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396177-1101YP2500X
NY401721363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional