Provider Demographics
NPI:1265605349
Name:HELENE CAGAN DPM PC
Entity type:Organization
Organization Name:HELENE CAGAN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-369-1180
Mailing Address - Street 1:319 E 88 ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-369-1180
Mailing Address - Fax:
Practice Address - Street 1:319 E 88 ST SUITE #5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-369-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004185213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01005701Medicaid
NY01005701Medicaid
NY0832820001Medicare NSC
NYP44061Medicare PIN