Individual provider · Type 1 NPI

Matt Germoso, CRPA

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1881300903 Active

Practice location

392 Seguine Ave
Staten Island, NY 10309-3906

Mailing address

288 Pelton Ave
Staten Island, NY 10310-1538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1881300903

Matt Germoso, CRPA's National Provider Identifier is 1881300903, issued on Jan 24, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jan 24, 2023.