Provider Demographics
NPI:1679537849
Name:FLAMENBAUM, HELEN S (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:S
Last Name:FLAMENBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 NEW HYDE PARK RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1214
Mailing Address - Country:US
Mailing Address - Phone:516-354-6868
Mailing Address - Fax:516-352-6807
Practice Address - Street 1:3003 NEW HYDE PARK RD
Practice Address - Street 2:SUITE 306
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1214
Practice Address - Country:US
Practice Address - Phone:516-354-6868
Practice Address - Fax:516-352-6807
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139010174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
68A871OtherEMPIRE BLUE CROSS
B17889Medicare UPIN
NY68A871Medicare PIN