Provider Demographics
NPI:1568559052
Name:KHILKIN-SOGOLOFF, HELEN (DO,)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:KHILKIN-SOGOLOFF
Suffix:
Gender:F
Credentials:DO,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 61ST ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-8722
Mailing Address - Country:US
Mailing Address - Phone:212-752-2900
Mailing Address - Fax:212-752-2949
Practice Address - Street 1:425 E 61ST ST
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-8722
Practice Address - Country:US
Practice Address - Phone:212-752-2900
Practice Address - Fax:212-752-2949
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205080207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH73386Medicare UPIN
NY7V2611Medicare PIN