Individual
MATT GERMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(718) 226-2637
Mailing address
288 PELTON AVE, STATEN ISLAND, NY 10310-1538
(347) 216-2217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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