Dr. Paul E Heasley
Internist Hospice and Palliative Medicine
445 New Karner Rd
Albany
, New York 12205-3809
Dr. Paul E Heasley
Internist Hospice and Palliative Medicine
445 New Karner Rd
Albany
, New York 12205-3809
(518) 649-4094
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Paul E Heasley
- Po Box 14890 St. Peter's Health Partners Payer Credentialing
- Albany, NY
- Zip : 12212-4890
- Fax : (518) 649-4094
- Phone : (518) 525-5634
Second Address
- Dr. Paul E Heasley
- 445 New Karner Rd
- Albany, NY
- Zip : 12205-3809
- Phone : (518) 285-8192
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 160808 | NY |
| Y | 111NI0900X | Internist | 160808 | NY |
| N | 207RH0002X | Hospice and Palliative Medicine | 160808 | NY |
National Provider Identifier
| NPI | 1285645085 |
|---|---|
| Provider Name | Dr. Paul E Heasley |
| First Address | Albany, NY 12212-4890 |
| Second Address | Albany, NY 12205-3809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 25/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01020048 | (05) | NY |
| B72402 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.