Individual
DR. MARK A HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
25 COTTAGE ST, POTSDAM, NY 13676-2196
(315) 265-1055
(315) 261-5043
Mailing address
50 LEROY ST, SUITE 100, POTSDAM, NY 13676-1786
(315) 265-1055
(315) 261-5043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042-0009894
VT
208600000X
Surgery Physician
Primary
285052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2070
—
VT
01
—
P00255993
RR MEDICARE
VT
Enumeration date
07/05/2006
Last updated
03/03/2017
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