Provider Demographics
NPI:1548301328
Name:HELFAND, RAYMOND (OD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:HELFAND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1378 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-2003
Mailing Address - Country:US
Mailing Address - Phone:718-442-2727
Mailing Address - Fax:
Practice Address - Street 1:1378 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-2003
Practice Address - Country:US
Practice Address - Phone:718-442-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV3221152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY957OtherDAVIS
NY00350312Medicaid
NY0609100001Medicare NSC
NY00350312Medicaid