Provider Demographics
NPI:1336511427
Name:DELVECCHIO, HELEN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:DELVECCHIO
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 1:3761 MARCY ST
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1054
Mailing Address - Country:US
Mailing Address - Phone:914-528-8117
Mailing Address - Fax:
Practice Address - Street 1:3761 MARCY ST
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1054
Practice Address - Country:US
Practice Address - Phone:914-528-8117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267228164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse