Provider Demographics
NPI:1396178075
Name:HELFMAN, NICOLE VICTORIA
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:VICTORIA
Last Name:HELFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BETHAL LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1004
Mailing Address - Country:US
Mailing Address - Phone:631-241-0310
Mailing Address - Fax:
Practice Address - Street 1:26 BETHAL LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1004
Practice Address - Country:US
Practice Address - Phone:631-241-0310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY844663251B00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management