Provider Demographics
NPI:1982291647
Name:PICCIRILLO, HELEN
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:PICCIRILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27420 LUSANDRA CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-1747
Mailing Address - Country:US
Mailing Address - Phone:440-979-9808
Mailing Address - Fax:
Practice Address - Street 1:10520 CENTER VILLAGE RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-8606
Practice Address - Country:US
Practice Address - Phone:740-965-9758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker