Provider Demographics
NPI:1386710713
Name:HELEN MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:HELEN MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEMYON
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-714-5544
Mailing Address - Street 1:1909 WEST 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2547
Mailing Address - Country:US
Mailing Address - Phone:718-714-5544
Mailing Address - Fax:718-714-9291
Practice Address - Street 1:1909 WEST 9TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2547
Practice Address - Country:US
Practice Address - Phone:718-714-5544
Practice Address - Fax:718-714-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0976719332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0586430001Medicare ID - Type Unspecified