Provider Demographics
NPI:1750462578
Name:MAIR, HELENE M (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:M
Last Name:MAIR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MERRICK AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3406
Mailing Address - Country:US
Mailing Address - Phone:516-783-1032
Mailing Address - Fax:516-783-1032
Practice Address - Street 1:31 MERRICK AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3406
Practice Address - Country:US
Practice Address - Phone:516-783-1032
Practice Address - Fax:516-783-1032
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008098103TC0700X
NY008098-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0069261002OtherEMPIRE
NY081106OtherGHI
NY00878120Medicaid