Basic Information
Provider Information
NPI: 1437563285
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDROFF
FirstName: HELEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALEXANDROFF
OtherFirstName: HELEN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: NP
OtherLastNameType: 5
Mailing Information
Address1: 1 GUSTAVE LEVY PLACE
Address2:  
City: NEW YORK
State: NY
PostalCode: 10029
CountryCode: US
TelephoneNumber: 2122416500
FaxNumber:  
Practice Location
Address1: 1 GUSTAVE LEVY PLACE
Address2:  
City: NEW YORK
State: NY
PostalCode: 10029
CountryCode: US
TelephoneNumber: 2122416500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2014
LastUpdateDate: 08/27/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2200X306862NYY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health

No ID Information.


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