MEDICARE: HYE J HEO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	238918	NY

General Provider Information

NPI Number	:	1306926860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYE J HEO

Provider Business Mailing Address
First Line	:	1601 TENBROECK AVE
Second Line	:	1ST FL
City	:	BRONX
State	:	NY
Zip	:	10461-2007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 TENBROECK AVE
Second Line	:	1ST FL
City	:	BRONX
State	:	NY
Zip	:	10461-2007
Country	:	US
Telephone Number	:	516-663-3020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	06/28/2023

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