Provider Demographics
NPI:1063676823
Name:CAVASIN, HELEN CATHERINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CATHERINE
Last Name:CAVASIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 LAKE CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-2006
Mailing Address - Country:US
Mailing Address - Phone:631-924-9669
Mailing Address - Fax:
Practice Address - Street 1:516 LAKE CT
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2006
Practice Address - Country:US
Practice Address - Phone:631-924-9669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180048-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse