Provider Demographics
NPI:1235487604
Name:SHEMA KOLAINU HEAR OUR VOICES
Entity Type:Organization
Organization Name:SHEMA KOLAINU HEAR OUR VOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EI SERVICE COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:JANNETT
Authorized Official - Last Name:AMAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-753-7766
Mailing Address - Street 1:926 47TH ST APT B3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2802
Mailing Address - Country:US
Mailing Address - Phone:917-753-7766
Mailing Address - Fax:
Practice Address - Street 1:4302 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-1831
Practice Address - Country:US
Practice Address - Phone:917-753-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management