Healthcare Provider Details

I. General information

NPI: 1750228037
Provider Name (Legal Business Name): HYE LEON JO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 BAY 14TH ST
BROOKLYN NY
11214-5809
US

IV. Provider business mailing address

267 BAY 14TH ST
BROOKLYN NY
11214-5809
US

V. Phone/Fax

Practice location:
  • Phone: 347-429-4981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007927
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: