Provider Demographics
NPI:1538500053
Name:HELFGOTT, ERICA (OTR)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HELFGOTT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:HELFGOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1819 AVENUE L
Mailing Address - Street 2:APARTMENT 6H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4460
Mailing Address - Country:US
Mailing Address - Phone:917-359-0368
Mailing Address - Fax:
Practice Address - Street 1:1819 AVENUE L
Practice Address - Street 2:APARTMENT 6H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4460
Practice Address - Country:US
Practice Address - Phone:917-359-0368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018009-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist