Basic Information
| Provider Information | |||||||||
| NPI: | 1730304635 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELM | ||||||||
| FirstName: | AURORA | ||||||||
| MiddleName: | THERESA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1345 RXR PLZ | ||||||||
| Address2: | |||||||||
| City: | UNIONDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115561301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164530435 | ||||||||
| FaxNumber: | 6468463283 | ||||||||
| Practice Location | |||||||||
| Address1: | 388 E FORDHAM RD | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184893553 | ||||||||
| FaxNumber: | 7184893554 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2007 | ||||||||
| LastUpdateDate: | 07/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA19120 | CA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 207P00000X | 023338 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.