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Individual

EUN AH HELMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
(631) 737-0076
Mailing address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
(631) 737-0076

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
016926
NY
363AM0700X
Medical Physician Assistant
016926
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619060183
NY
Enumeration date
09/23/2013
Last updated
01/03/2020
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