Provider Demographics
NPI:1063907574
Name:MOUNESA, HELENA
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:MOUNESA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 AVENUE V APT 8C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4592
Mailing Address - Country:US
Mailing Address - Phone:347-576-5646
Mailing Address - Fax:
Practice Address - Street 1:2006 AVENUE V APT 8C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4592
Practice Address - Country:US
Practice Address - Phone:347-576-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist