Provider Demographics
NPI:1487750188
Name:PEDRO, HELDER FRANCISCO (DPM)
Entity type:Individual
Prefix:DR
First Name:HELDER
Middle Name:FRANCISCO
Last Name:PEDRO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLOW PLACE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507
Mailing Address - Country:US
Mailing Address - Phone:516-621-3721
Mailing Address - Fax:516-621-3721
Practice Address - Street 1:1 WILLOW PLACE
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507
Practice Address - Country:US
Practice Address - Phone:516-621-3721
Practice Address - Fax:516-621-3721
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005501213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU73764Medicare UPIN