Provider Demographics
NPI:1649634452
Name:FISHBEYN, HELENE SAMANTHA (RN)
Entity type:Individual
Prefix:MISS
First Name:HELENE
Middle Name:SAMANTHA
Last Name:FISHBEYN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 BRIGHTON 3RD ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7324
Mailing Address - Country:US
Mailing Address - Phone:347-574-8919
Mailing Address - Fax:
Practice Address - Street 1:3100 BRIGHTON 3RD ST APT 5B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7324
Practice Address - Country:US
Practice Address - Phone:347-574-8919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY706814163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse