Healthcare Provider Details

I. General information

NPI: 1174189484
Provider Name (Legal Business Name): HEURO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 5TH AVE FL 4
NEW YORK NY
10017-8020
US

IV. Provider business mailing address

17 JOHN ST FL 6
NEW YORK NY
10038-4010
US

V. Phone/Fax

Practice location:
  • Phone: 646-859-5003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: JESSE KESSLER
Title or Position: CEO
Credential:
Phone: 646-265-1933