Provider Demographics
NPI:1972850592
Name:GOTTESMAN, HELENE (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:
Last Name:GOTTESMAN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 EDISON CT
Mailing Address - Street 2:APT P
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1955
Mailing Address - Country:US
Mailing Address - Phone:845-596-0279
Mailing Address - Fax:
Practice Address - Street 1:127 EDISON CT
Practice Address - Street 2:APT P
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1955
Practice Address - Country:US
Practice Address - Phone:845-596-0279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist