Provider Demographics
NPI:1679734180
Name:MARONEY, HEATHER LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYNNE
Last Name:MARONEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT #1286 SLEEPY HOLLOW ROAD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:NY
Mailing Address - Zip Code:12015
Mailing Address - Country:US
Mailing Address - Phone:914-466-0144
Mailing Address - Fax:
Practice Address - Street 1:81 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3834
Practice Address - Country:US
Practice Address - Phone:518-456-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics