Provider Demographics
NPI:1457614661
Name:EISENSTADT, HELEN RUTH (BA, MS)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:RUTH
Last Name:EISENSTADT
Suffix:
Gender:F
Credentials:BA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:976 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3622
Mailing Address - Country:US
Mailing Address - Phone:718-252-7538
Mailing Address - Fax:
Practice Address - Street 1:6012 FARRAGUT RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3125
Practice Address - Country:US
Practice Address - Phone:718-209-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071152011101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor