Provider Demographics
NPI:1679276984
Name:CRENTSIL, HELENA (LPN)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:CRENTSIL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 SAINT OUEN ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1314
Mailing Address - Country:US
Mailing Address - Phone:646-363-8714
Mailing Address - Fax:
Practice Address - Street 1:727 SAINT OUEN ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1314
Practice Address - Country:US
Practice Address - Phone:646-363-8714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY345684164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse