Provider Demographics
NPI:1265746499
Name:SHALOMAH MINISTRY INC
Entity type:Organization
Organization Name:SHALOMAH MINISTRY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PYANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-754-8513
Mailing Address - Street 1:11714 145TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11436-1315
Mailing Address - Country:US
Mailing Address - Phone:917-754-8513
Mailing Address - Fax:
Practice Address - Street 1:14427 175TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-4813
Practice Address - Country:US
Practice Address - Phone:917-754-8513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health