Individual
GIANNA MARIE SANDOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
51 JFK PKWY, SHORT HILLS, NJ 07078-2704
(917) 582-6622
(888) 974-2142
Mailing address
8 POVERSHON RD, NUTLEY, NJ 07110-2005
(201) 687-7524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR18464500
NJ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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