Doctor Name: | COROLINDA SEHELASA HELU |
NPI Number: | 1205822566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 0107 |
Business Practice Address: | 262 Red Mills Rd Pine Bush, NY - 125666218 |
Business Phone Number: | 8459137026 |
Business Fax Number: | 7759962815 |
Mailing Address: | 262 Red Mills Rd, PINE BUSH |
State: | NY |
Postal Code: | 125666218 |
Phone Number: | 8459137026 |
Fax Number: | 7759962815 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 0107 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |