Individual
DR. BRENDA J HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6412
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0420009944
VT
207P00000X
Emergency Medicine Physician
Primary
28619
NY
207Q00000X
Family Medicine Physician
042-0009944
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2147
—
VT
Enumeration date
06/29/2006
Last updated
10/20/2016
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