Provider Demographics
NPI:1417654732
Name:HELLINGER, EMMA KATHLEEN
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:KATHLEEN
Last Name:HELLINGER
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 1:5406 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-1211
Mailing Address - Country:US
Mailing Address - Phone:315-771-1577
Mailing Address - Fax:
Practice Address - Street 1:5406 STEWART ST
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-1211
Practice Address - Country:US
Practice Address - Phone:315-771-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program