Provider Demographics
NPI:1437627056
Name:HE, JENNY (AUD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 MOTT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4919
Mailing Address - Country:US
Mailing Address - Phone:917-589-6940
Mailing Address - Fax:
Practice Address - Street 1:196 CANAL ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4562
Practice Address - Country:US
Practice Address - Phone:917-810-4888
Practice Address - Fax:917-810-4889
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002847231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist