Provider Demographics
NPI:1437487063
Name:FLAHIVE, HELENA MARIA (RPH)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:MARIA
Last Name:FLAHIVE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 N RESEARCH PL
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4458
Mailing Address - Country:US
Mailing Address - Phone:631-297-2012
Mailing Address - Fax:631-297-2012
Practice Address - Street 1:160 N RESEARCH PL
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-4458
Practice Address - Country:US
Practice Address - Phone:631-297-2012
Practice Address - Fax:631-297-2012
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist