Provider Demographics
NPI:1932127974
Name:GEDIMAN, HELEN K (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:K
Last Name:GEDIMAN
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 1:50 E 89TH ST
Mailing Address - Street 2:# 30E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1225
Mailing Address - Country:US
Mailing Address - Phone:212-831-7279
Mailing Address - Fax:212-831-5561
Practice Address - Street 1:50 E 89TH ST
Practice Address - Street 2:# 30E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1225
Practice Address - Country:US
Practice Address - Phone:212-831-7279
Practice Address - Fax:212-831-5561
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2751101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV64881Medicare ID - Type Unspecified