MEDICARE: DR. DAVID JOSEPH HELLER M.D. M.P.H.

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	208M00000X	Hospitalist Physician	283213	NY
2	207R00000X	Internal Medicine Physician	283213	NY

General Provider Information

NPI Number	:	1790912590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH HELLER M.D. M.P.H.

Provider Business Mailing Address
First Line	:	1216 5TH AVE STE 562
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-5202
Country	:	US
Telephone Number	:	212-824-7954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 5TH AVE STE 562
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-5202
Country	:	US
Telephone Number	:	212-824-7954
Fax Number	:

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

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	04/06/2026

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