Provider Demographics
NPI:1427236884
Name:TSIVOURAKIS, HELEN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:TSIVOURAKIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:ANDROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:721 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-7256
Mailing Address - Country:US
Mailing Address - Phone:212-246-0168
Mailing Address - Fax:212-354-0988
Practice Address - Street 1:721 9TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7256
Practice Address - Country:US
Practice Address - Phone:212-246-0168
Practice Address - Fax:212-354-0988
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist