Provider Demographics
NPI:1598204166
Name:OLENA INC
Entity Type:Organization
Organization Name:OLENA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERBA
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:646-413-4500
Mailing Address - Street 1:2930 W 30TH ST
Mailing Address - Street 2:10A5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1720
Mailing Address - Country:US
Mailing Address - Phone:646-413-4500
Mailing Address - Fax:
Practice Address - Street 1:2930 W 30TH ST
Practice Address - Street 2:10A5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1720
Practice Address - Country:US
Practice Address - Phone:646-413-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1386749252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency