Provider Demographics
NPI:1417135914
Name:BOREL, HELEN DEBRA (RN)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:DEBRA
Last Name:BOREL
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 1:200 W 79TH ST
Mailing Address - Street 2:SUITE 9L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6212
Mailing Address - Country:US
Mailing Address - Phone:212-874-3394
Mailing Address - Fax:
Practice Address - Street 1:200 W 79TH ST
Practice Address - Street 2:SUITE 9L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6212
Practice Address - Country:US
Practice Address - Phone:212-874-3394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135051163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice