Alida A. Dominianni, Lcsw, Llc | |
901 Teaneck Rd Teaneck NJ 07666-4511 | |
(201) 833-8838 | |
Not Available |
Full Name | Alida A. Dominianni, Lcsw, Llc |
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Speciality | Community/behavioral Health |
Location | 901 Teaneck Rd, Teaneck, New Jersey |
Authorized Official Name and Position | Alida A. Derussi (OWNER) |
Authorized Official Contact | 2018338838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alida A. Dominianni, Lcsw, Llc 901 Teaneck Rd Teaneck NJ 07666-4511 Ph: (201) 833-8838 | Alida A. Dominianni, Lcsw, Llc 901 Teaneck Rd Teaneck NJ 07666-4511 Ph: (201) 833-8838 |
NPI Number | 1821239625 |
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Provider Enumeration Date | 03/09/2009 |
Last Update Date | 03/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821239625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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