Provider Demographics
NPI:1427306885
Name:POMARO, AIMEE N
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:N
Last Name:POMARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 HETT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5629
Mailing Address - Country:US
Mailing Address - Phone:347-203-3341
Mailing Address - Fax:
Practice Address - Street 1:287 HETT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-5629
Practice Address - Country:US
Practice Address - Phone:347-203-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist