Provider Demographics
NPI:1629330725
Name:EMELINA, OLENA (SPED)
Entity Type:Individual
Prefix:
First Name:OLENA
Middle Name:
Last Name:EMELINA
Suffix:
Gender:F
Credentials:SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STEINWAY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4820
Mailing Address - Country:US
Mailing Address - Phone:347-881-7282
Mailing Address - Fax:
Practice Address - Street 1:201 STEINWAY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-4820
Practice Address - Country:US
Practice Address - Phone:347-881-7282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist