Provider Demographics
NPI:1831625557
Name:KIJAJA, INC.
Entity type:Organization
Organization Name:KIJAJA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ERSKINE-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SPECIAL ED
Authorized Official - Phone:914-282-7017
Mailing Address - Street 1:3 PEACHTREE DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5233
Mailing Address - Country:US
Mailing Address - Phone:914-282-7017
Mailing Address - Fax:
Practice Address - Street 1:3 PEACHTREE DR
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5233
Practice Address - Country:US
Practice Address - Phone:914-282-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty