Provider Demographics
NPI:1700838133
Name:EVRARD, HELEN M (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:EVRARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 E ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2041
Mailing Address - Country:US
Mailing Address - Phone:716-231-4466
Mailing Address - Fax:716-213-4462
Practice Address - Street 1:3950 E ROBINSON RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2041
Practice Address - Country:US
Practice Address - Phone:716-231-4466
Practice Address - Fax:716-213-4462
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY172434-1207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000527979001OtherBLUE CROSS TRADITIONAL
NY0212724OtherINDEPENDENT HEALTH
NY00026942001OtherUNIVERA
NYE55859Medicare UPIN
NY0212724OtherINDEPENDENT HEALTH