MEDICARE: DR. PAUL HELTZER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	226014	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160059396	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104809235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HELTZER MD

Provider Business Mailing Address
First Line	:	408 SEAVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-2216
Country	:	US
Telephone Number	:	718-987-6490
Fax Number	:	718-987-6494

Provider Business Practice Location Address
First Line	:	408 SEAVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-2216
Country	:	US
Telephone Number	:	718-987-6490
Fax Number	:	718-987-6494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	04/10/2013

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Directions to “ DR. PAUL HELTZER MD” Practice Location

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