Provider Demographics
NPI:1720876907
Name:POMEROY, SARA ROSE (MFT-LP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ROSE
Last Name:POMEROY
Suffix:
Gender:X
Credentials:MFT-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2702
Mailing Address - Country:US
Mailing Address - Phone:516-882-2877
Mailing Address - Fax:
Practice Address - Street 1:64 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2702
Practice Address - Country:US
Practice Address - Phone:516-882-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor