Provider Demographics
NPI:1528137452
Name:CALLARD, HELANA (CNM)
Entity type:Individual
Prefix:MRS
First Name:HELANA
Middle Name:
Last Name:CALLARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:HELANA
Other - Middle Name:
Other - Last Name:BUFFARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 W BURNSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4015
Mailing Address - Country:US
Mailing Address - Phone:718-716-4400
Mailing Address - Fax:718-228-7471
Practice Address - Street 1:70 W BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4016
Practice Address - Country:US
Practice Address - Phone:718-716-2229
Practice Address - Fax:718-716-1549
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000696367A00000X
PAMW010021367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife