Provider Demographics
NPI:1972544237
Name:LONGACRE, HELENE CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:CLAIRE
Last Name:LONGACRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELENE
Other - Middle Name:CLAIRE
Other - Last Name:LONGACRE-PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:33 LEWIS RD
Mailing Address - Street 2:2ND FL
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905
Mailing Address - Country:US
Mailing Address - Phone:607-770-0025
Mailing Address - Fax:607-729-3982
Practice Address - Street 1:4417 VESTAL PKWY E
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3556
Practice Address - Country:US
Practice Address - Phone:607-797-4496
Practice Address - Fax:607-729-5995
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223913207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02188576Medicaid
NY02188576Medicaid
NYBA0684Medicare PIN
NYJ400022153Medicare PIN