Provider Demographics
NPI:1184939639
Name:HELLMANN, ANTONI DIETER
Entity type:Individual
Prefix:MR
First Name:ANTONI
Middle Name:DIETER
Last Name:HELLMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 MACBETH ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-7105
Mailing Address - Country:US
Mailing Address - Phone:585-482-1083
Mailing Address - Fax:
Practice Address - Street 1:133 MACBETH ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7105
Practice Address - Country:US
Practice Address - Phone:585-482-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275989-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse