Gormally, Michael Vincent Gilligan

Gormally, Michael Vincent Gilligan is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gormally, Michael Vincent Gilligan can be contacted via phone (212) 639-2000.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 311066 New York

Profile Details

NPI number 1710543376
LBN Legal business name Gormally, Michael Vincent Gilligan
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2019
Last updated Mar 7th, 2023 - about 3 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 1710543376 NPPES
New York Other 311066 NY STATE LICENSE

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