Provider Demographics
NPI:1811764186
Name:HALCHUK, HELEN ELIZABETH (RPH)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ELIZABETH
Last Name:HALCHUK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 41ST AVE APT 6A
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3451
Mailing Address - Country:US
Mailing Address - Phone:347-397-8180
Mailing Address - Fax:888-383-8112
Practice Address - Street 1:IDENTID CORP
Practice Address - Street 2:2202 46 TH STREET ,SUITE 1038
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105
Practice Address - Country:US
Practice Address - Phone:888-383-8112
Practice Address - Fax:888-383-8839
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0325091835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care