Search › New York › Psychiatric/Mental Health Nurse Practitioner
Supaporn Pathumanon, PMHNP
NPI 1477243392 · on the registry since 2023 · sole proprietor
Practice
- Address
- 814 Larchmont Acres Apt D
Larchmont, NY 10538 - Phone
- (347) 845-1857
- Organisation at this address
- Supaporn Pathumanon Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York