Provider Demographics
NPI:1730207135
Name:LARSEN, HELAINE F (DO)
Entity type:Individual
Prefix:DR
First Name:HELAINE
Middle Name:F
Last Name:LARSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:HELAINE
Other - Middle Name:F
Other - Last Name:LARSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:900 MERCHANTS CONCOURSE STE 216
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5114
Mailing Address - Country:US
Mailing Address - Phone:516-226-8373
Mailing Address - Fax:631-893-5394
Practice Address - Street 1:200 WEST MAIN STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702323
Practice Address - Country:US
Practice Address - Phone:631-893-5510
Practice Address - Fax:631-893-5394
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238001207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine