Provider Demographics
NPI:1801462676
Name:POUST, NOAH JAMES DETURRIS
Entity type:Individual
Prefix:MR
First Name:NOAH
Middle Name:JAMES DETURRIS
Last Name:POUST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MILL CREEK DR APT B
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-1328
Mailing Address - Country:US
Mailing Address - Phone:518-360-7649
Mailing Address - Fax:
Practice Address - Street 1:4 AUTOMATION LN STE 100
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1619
Practice Address - Country:US
Practice Address - Phone:518-360-7649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0993621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical