Healthcare Provider Details

I. General information

NPI: 1083309322
Provider Name (Legal Business Name): HELENA ECONOMIKOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 GRAND CONCOURSE
BRONX NY
10453-4303
US

IV. Provider business mailing address

56 SHAMROCK HILLS DR
WAPPINGERS FALLS NY
12590-4353
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-4300
  • Fax:
Mailing address:
  • Phone: 914-523-1831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN007521
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: