Provider Demographics
NPI:1528407335
Name:HELMUS, SHOSHANA E
Entity Type:Individual
Prefix:MRS
First Name:SHOSHANA
Middle Name:E
Last Name:HELMUS
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 1:3706 FLATLANDS AVE
Mailing Address - Street 2:APARTMENT 2F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3449
Mailing Address - Country:US
Mailing Address - Phone:347-809-1029
Mailing Address - Fax:508-519-6140
Practice Address - Street 1:3706 FLATLANDS AVE
Practice Address - Street 2:APARTMENT 2F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3449
Practice Address - Country:US
Practice Address - Phone:347-809-1029
Practice Address - Fax:508-519-6140
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY507806111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist