Provider Demographics
NPI:1427730944
Name:OLAYA, KAREN MILANO
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MILANO
Last Name:OLAYA
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 1:32 LAKE DR E
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4325
Mailing Address - Country:US
Mailing Address - Phone:201-247-8570
Mailing Address - Fax:
Practice Address - Street 1:1401 VALLEY RD STE 303
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2074
Practice Address - Country:US
Practice Address - Phone:201-247-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046356001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical