Provider Demographics
NPI:1518843879
Name:MICHELIS PETRAS, HELEN (PHARMACIST)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:MICHELIS PETRAS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:MICHELIS PETRAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HELEN PETRAS
Mailing Address - Street 1:16 THE TER
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1349
Mailing Address - Country:US
Mailing Address - Phone:917-417-4582
Mailing Address - Fax:
Practice Address - Street 1:969 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2763
Practice Address - Country:US
Practice Address - Phone:212-737-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043518-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist