Provider Demographics
NPI:1699272252
Name:KALAYGIAN, RENA FLORENCE (TEACHER)
Entity type:Individual
Prefix:
First Name:RENA
Middle Name:FLORENCE
Last Name:KALAYGIAN
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 WELLINGTON RD S
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1032
Mailing Address - Country:US
Mailing Address - Phone:516-698-7129
Mailing Address - Fax:
Practice Address - Street 1:144 WELLINGTON RD S
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1032
Practice Address - Country:US
Practice Address - Phone:516-698-7129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
NY1281298252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency