Healthcare Provider Details

I. General information

NPI: 1053376335
Provider Name (Legal Business Name): ELLEN M HEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 MAIN ST
OVID NY
14521-9401
US

IV. Provider business mailing address

601B W WASHINGTON ST
GENEVA NY
14456-2119
US

V. Phone/Fax

Practice location:
  • Phone: 607-403-0065
  • Fax:
Mailing address:
  • Phone: 315-787-8151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF334123-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: