Provider Demographics
NPI:1770664195
Name:DUFFY, HELENA (RNP)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MILTON RD
Mailing Address - Street 2:APT. A22
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3850
Mailing Address - Country:US
Mailing Address - Phone:718-405-8260
Mailing Address - Fax:
Practice Address - Street 1:MONTEFIORE MEDICAL PARK
Practice Address - Street 2:1575 BLONDELL AVENUE STE 200
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303443363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner