Healthcare Provider Details

I. General information

NPI: 1083404404
Provider Name (Legal Business Name): HEY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 MADISON AVE STE 11824
NEW YORK NY
10016-5101
US

IV. Provider business mailing address

2261 MARKET ST STE 85051
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 405-873-7212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROL PELLETIER
Title or Position: OPERATIONS
Credential:
Phone: 405-873-7212