Provider Demographics
NPI:1992705875
Name:CAGAN, HELENE CAROLE (DPM)
Entity type:Individual
Prefix:DR
First Name:HELENE
Middle Name:CAROLE
Last Name:CAGAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4936
Mailing Address - Country:US
Mailing Address - Phone:212-369-1180
Mailing Address - Fax:
Practice Address - Street 1:319 E 88TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4936
Practice Address - Country:US
Practice Address - Phone:718-584-7163
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004185213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01005701Medicaid
NYP44061Medicare ID - Type Unspecified
NY01005701Medicaid