Provider Demographics
NPI:1124594460
Name:HEALY, TONI LYN
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:LYN
Last Name:HEALY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:LYN
Other - Last Name:YANKOFSKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:518 BEACH 139TH ST APT A10
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1265
Mailing Address - Country:US
Mailing Address - Phone:917-488-8544
Mailing Address - Fax:
Practice Address - Street 1:518 BEACH 139TH ST APT A10
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-1265
Practice Address - Country:US
Practice Address - Phone:917-488-8544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health