Provider Demographics
NPI:1952339913
Name:HEALY, WILLIAM A III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:HEALY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-271-8030
Mailing Address - Fax:631-271-8448
Practice Address - Street 1:196 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-271-8030
Practice Address - Fax:631-271-8448
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198084207X00000X
NY11-3372638174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1455384OtherUNITED HEALTHCARE
NY13417OtherVYTRA
NY4225030OtherAETNA
NY73G801OtherEMP BLUECROSS BLUESHIED
NY7826OtherAFFINITY
NYM7698POtherHIP
NYP683881OtherOXFORD
NY1C2414OtherHEALTHNET / CARECORE
NY1C2414OtherHEALTHNET / CARECORE
NYM7698POtherHIP