Individual
GREGORY HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 PARK ST, CANTON, NY 13617-1265
(315) 379-9158
(315) 379-9604
Mailing address
25 PARK ST, CANTON, NY 13617-1265
(315) 379-9158
(315) 379-9604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
214981-1
NY
207Q00000X
Family Medicine Physician
Primary
214981-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01944370
—
NY
Enumeration date
08/10/2006
Last updated
07/03/2014
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