1952598286 NPI number — MS. HELEN ADRIENNE MSW

Table of content: MS. HELEN ADRIENNE MSW (NPI 1952598286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952598286 NPI number — MS. HELEN ADRIENNE MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADRIENNE
Provider First Name:
HELEN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952598286
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 EAST 64TH STREET
Provider Second Line Business Mailing Address:
SUITE E1D
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-758-0125
Provider Business Mailing Address Fax Number:
212-888-2558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
420 EAST 64TH STREET
Provider Second Line Business Practice Location Address:
SUITE E1D
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-758-0125
Provider Business Practice Location Address Fax Number:
212-888-2558
Provider Enumeration Date:
10/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  PR0222511 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 104100000X , with the licence number: 44SC00399400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PR0222511 . This is a "DEPT OF LICENSING" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 44SC00399400 . This is a "DEPT OF LICENSING" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com