Provider Demographics
NPI:1891904603
Name:ECHEBIRI, HELEN UDOBATA (PNP)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:UDOBATA
Last Name:ECHEBIRI
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:486 SAINT NICHOLAS AVE
Mailing Address - Street 2:APT 9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2734
Mailing Address - Country:US
Mailing Address - Phone:212-926-4580
Mailing Address - Fax:
Practice Address - Street 1:1531 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-6100
Practice Address - Country:US
Practice Address - Phone:718-597-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-381820363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics