Provider Demographics
NPI:1821177791
Name:HELOU, NAGIB PIERRE (MD)
Entity Type:Individual
Prefix:
First Name:NAGIB
Middle Name:PIERRE
Last Name:HELOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 JEFFERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2428
Mailing Address - Country:US
Mailing Address - Phone:516-248-4848
Mailing Address - Fax:516-742-5642
Practice Address - Street 1:153 JEFFERSON AVENUE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2428
Practice Address - Country:US
Practice Address - Phone:516-248-4848
Practice Address - Fax:516-742-5642
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108190207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
579171Medicare ID - Type Unspecified
B78042Medicare UPIN