Provider Demographics
NPI:1811667702
Name:SELMANI, ENKELETA (EARLY CHILDHOOD MA)
Entity type:Individual
Prefix:
First Name:ENKELETA
Middle Name:
Last Name:SELMANI
Suffix:
Gender:F
Credentials:EARLY CHILDHOOD MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 MCCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3610
Mailing Address - Country:US
Mailing Address - Phone:347-484-4892
Mailing Address - Fax:
Practice Address - Street 1:173 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-4417
Practice Address - Country:US
Practice Address - Phone:347-484-4892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other