Provider Demographics
NPI:1942480009
Name:MEDICAL HELPLIFE, P.C.
Entity Type:Organization
Organization Name:MEDICAL HELPLIFE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHTITSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-642-9027
Mailing Address - Street 1:1 POST CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6616
Mailing Address - Country:US
Mailing Address - Phone:845-634-1970
Mailing Address - Fax:845-708-2279
Practice Address - Street 1:2615 E 16TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3805
Practice Address - Country:US
Practice Address - Phone:718-332-2662
Practice Address - Fax:718-332-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02154709Medicaid
NYH34986Medicare UPIN
NY02154709Medicaid