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1760956775
RICHARD POVEROMO
PORT JEFFERSON, NY
NPI
1760956775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174V00000X Clinical Ethicist
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
RICHARD POVEROMO LMSW, CCM, HEC-C
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
RICHARD POVEROMO LMSW, CCM, HEC-C
7 WATER RD
ROCKY POINT, NY 11778-9331
Phone number: 631-680-8926
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