Provider Demographics
NPI:1689452617
Name:WILLIAMS, HELEN (PA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:HAARLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 S 4TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-2952
Mailing Address - Country:US
Mailing Address - Phone:315-349-5873
Mailing Address - Fax:315-592-3949
Practice Address - Street 1:510 S 4TH ST STE 140
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-2952
Practice Address - Country:US
Practice Address - Phone:315-349-5873
Practice Address - Fax:315-592-3949
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical