Provider Demographics
NPI:1588853717
Name:HEALY, JOSETTE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:
Last Name:HEALY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2296 WILLIAM CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3536
Mailing Address - Country:US
Mailing Address - Phone:914-302-6747
Mailing Address - Fax:914-302-6746
Practice Address - Street 1:92 RINGGOLD ST
Practice Address - Street 2:APT H001
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3323
Practice Address - Country:US
Practice Address - Phone:914-302-6747
Practice Address - Fax:914-302-6746
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4100213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6683240001Medicare NSC
NYP86541Medicare PIN