Provider Demographics
NPI:1760076616
Name:POLLONAIS, KENYA CHERYLANN
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:CHERYLANN
Last Name:POLLONAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 NEW YORK AVE APT 5E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1748
Mailing Address - Country:US
Mailing Address - Phone:718-314-3024
Mailing Address - Fax:
Practice Address - Street 1:1403 NEW YORK AVE APT 5E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-1748
Practice Address - Country:US
Practice Address - Phone:718-314-3024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker