HEALEY MEDICAL PRACTICE PLLC NPI 1457568792

NPI Information

  • NPI: 1457568792
  • Provider Name: HEALEY MEDICAL PRACTICE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 25 PARK ST
    CANTON, NY
    ZIP 13617
  • Phone: (315) 379-9158

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NPI Details

HEALEY MEDICAL PRACTICE, PLLC is a family medicine in Canton, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALEY MEDICAL PRACTICE, PLLC NPI is 1457568792. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 PARK ST
CANTON, NY
ZIP 13617-265
Phone: (315) 379-9158
Fax: (315) 379-9604

The provider's authorized official is Gregory J Healey .
The authorized official title is Owner and has the following contact phone number (315) 379-9158.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 10/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine214981NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DN6061MEDICARE PINNEW YORK
2BA1427MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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