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1881300903
MATT GERMOSO
STATEN ISLAND, NY
NPI
1881300903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
MATT GERMOSO CRPA
392 SEGUINE AVE
STATEN ISLAND, NY 10309-3906
Phone number: 718-226-2637
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Mailing Address
MATT GERMOSO CRPA
288 PELTON AVE
STATEN ISLAND, NY 10310-1538
Phone number: 347-216-2217
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