Provider Demographics
NPI:1659480515
Name:YOO BOWNE, HELEN J (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:J
Last Name:YOO BOWNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:YOO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:450 W 33RD ST
Mailing Address - Street 2:PBS 12TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2603
Mailing Address - Country:US
Mailing Address - Phone:212-356-4474
Mailing Address - Fax:212-356-4608
Practice Address - Street 1:170 W 12TH ST
Practice Address - Street 2:OTOLARYNGOLOGY SERVICE (SPELLMAN 5)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8202
Practice Address - Country:US
Practice Address - Phone:212-414-9175
Practice Address - Fax:212-414-8784
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202499207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400002766OtherMEDICARE PIN/PTAN
NY02156009Medicaid
6M4101Medicare ID - Type Unspecified
A400002766Medicare PIN
NY02156009Medicaid