Gilligan, Diana M

Gilligan, Diana M is an individual health care provider with primary practice located at 750 E Adams St Regional Oncology Center, Syracuse NY 13210-2342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as her primary health care specialty. Gilligan, Diana M can be contacted via phone (315) 464-8200.

Contact Information

Primary practice address
750 E Adams St Regional Oncology Center Syracuse NY 13210-2342
Phone: (315) 464-8200
Fax: (315) 464-8206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 258866 New York

Profile Details

NPI number 1700964160
LBN Legal business name Gilligan, Diana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700964160 NPPES
New York MEDICAID 03271941

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