Provider Demographics
NPI:1801301635
Name:VIMINIC CORP
Entity type:Organization
Organization Name:VIMINIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHNEYDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-664-0065
Mailing Address - Street 1:1815 CORNAGA AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4305
Mailing Address - Country:US
Mailing Address - Phone:718-757-1640
Mailing Address - Fax:
Practice Address - Street 1:1815 CORNAGA AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4305
Practice Address - Country:US
Practice Address - Phone:718-757-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care