Provider Demographics
NPI:1811881022
Name:OLENA V CORP
Entity type:Organization
Organization Name:OLENA V CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:VYSOCHEK
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-412-6878
Mailing Address - Street 1:200 CORBIN PL APT 2P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4931
Mailing Address - Country:US
Mailing Address - Phone:917-412-6878
Mailing Address - Fax:
Practice Address - Street 1:200 CORBIN PL APT 2P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4931
Practice Address - Country:US
Practice Address - Phone:917-412-6878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency