Provider Demographics
NPI:1063661080
Name:MCINTYRE, HELEN M (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 N GROVE ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-2736
Mailing Address - Country:US
Mailing Address - Phone:516-377-2885
Mailing Address - Fax:516-377-2885
Practice Address - Street 1:114 N GROVE ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-2736
Practice Address - Country:US
Practice Address - Phone:516-377-2885
Practice Address - Fax:516-377-2885
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271068163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse