Provider Demographics
NPI:1306926860
Name:HEO, HYE J
Entity type:Individual
Prefix:
First Name:HYE
Middle Name:J
Last Name:HEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 TENBROECK AVE
Mailing Address - Street 2:1ST FL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 TENBROECK AVE
Practice Address - Street 2:1ST FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2007
Practice Address - Country:US
Practice Address - Phone:516-663-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238918207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology