Individual
DR. JUSTIN ROBERT POMERENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
(503) 559-4189
Mailing address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023358
NY
Other
Enumeration date
08/18/2019
Last updated
08/25/2021
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