Individual
OLENA KLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 PATTERSON AVE, STATEN ISLAND, NY 10306-6064
(917) 696-6988
Mailing address
948 PATTERSON AVE, STATEN ISLAND, NY 10306-6064
(917) 696-6988
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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