Provider Demographics
NPI:1699040477
Name:OLONKO, JANET SUSAN (RN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:SUSAN
Last Name:OLONKO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2204
Mailing Address - Country:US
Mailing Address - Phone:718-837-7724
Mailing Address - Fax:718-837-7724
Practice Address - Street 1:6015 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2204
Practice Address - Country:US
Practice Address - Phone:718-837-7724
Practice Address - Fax:718-837-7724
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260912-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool