Provider Demographics
NPI:1568747582
Name:FURBER, HELEN ANNE
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ANNE
Last Name:FURBER
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:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:SODUS
Mailing Address - State:NY
Mailing Address - Zip Code:14551-0220
Mailing Address - Country:US
Mailing Address - Phone:315-483-5282
Mailing Address - Fax:
Practice Address - Street 1:54 MILL ST
Practice Address - Street 2:
Practice Address - City:SODUS
Practice Address - State:NY
Practice Address - Zip Code:14551-9606
Practice Address - Country:US
Practice Address - Phone:315-483-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007062174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist