Individual
MS. ILENE MADGE HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W 17TH ST, ROOM 111F, NEW YORK, NY 10011-5001
(212) 691-6119
(212) 691-6219
Mailing address
333 W 17TH ST, ROOM 111F, NEW YORK, NY 10011-5001
(212) 691-6119
(212) 691-6219
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
264730
NY
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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