Healey, Gregory

Healey, Gregory is an individual health care provider with primary practice located at 25 Park St , Canton NY 13617-1265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Healey, Gregory can be contacted via phone (315) 379-9158.

Contact Information

Primary practice address
25 Park St Canton NY 13617-1265
Phone: (315) 379-9158
Fax: (315) 379-9604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 214981-1 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 214981-1 New York

Profile Details

NPI number 1558372086
LBN Legal business name Healey, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558372086 NPPES
New York MEDICAID 01944370

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