Healthcare Provider Details

I. General information

NPI: 1780598938
Provider Name (Legal Business Name): ALEC HELFORD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COUNTY RD 97
STONY BROOK NY
11794-0001
US

IV. Provider business mailing address

127 PARKHILL AVE
MASSAPEQUA NY
11758-4667
US

V. Phone/Fax

Practice location:
  • Phone: 631-689-8333
  • Fax:
Mailing address:
  • Phone: 516-456-0583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number036498-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: