Provider Demographics
NPI:1619119633
Name:KOLOS, HELENA
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:KOLOS
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 1:2697 E 23RD ST
Mailing Address - Street 2:# 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2825
Mailing Address - Country:US
Mailing Address - Phone:347-446-0678
Mailing Address - Fax:347-374-4588
Practice Address - Street 1:2697 E 23RD ST
Practice Address - Street 2:# 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2825
Practice Address - Country:US
Practice Address - Phone:347-446-0678
Practice Address - Fax:347-374-4588
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist