Provider Demographics
NPI:1396924247
Name:POLLONAIS, SANDRA H (R,N)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:H
Last Name:POLLONAIS
Suffix:
Gender:F
Credentials:R,N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ABERDEEN RD APT 347B
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1165
Mailing Address - Country:US
Mailing Address - Phone:917-365-4441
Mailing Address - Fax:
Practice Address - Street 1:33 ABERDEEN ROAD APT 347B
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:917-365-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY521229163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse