Provider Demographics
NPI:1457753386
Name:REICH, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:REICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-2105
Mailing Address - Country:US
Mailing Address - Phone:203-952-6020
Mailing Address - Fax:212-223-0198
Practice Address - Street 1:67 SUMMIT RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-2105
Practice Address - Country:US
Practice Address - Phone:203-952-6020
Practice Address - Fax:212-223-0198
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037789225100000X
CT012649225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ4WFH1Medicare PIN