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Organization

EILEEN F COLLIGAN, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EILEEN F COLLIGAN M.D. (PRESIDENT)
(212) 982-5633
Entity
Organization

Contact information

Practice address
60 E 9TH ST, SUITE 134, NEW YORK, NY 10003-6403
(212) 982-5633
(212) 982-5690
Mailing address
60 E 9TH ST, SUITE 134, NEW YORK, NY 10003-6403
(212) 982-5633
(212) 982-5690

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125788
NY
207RG0100X
Gastroenterology Physician
125788
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00399284
NY
01
10507901
CAQH
NY
01
125788
MEDICAL LICENSE
NY
01
1972599645
INDIVIDUAL NPI #
01
25MA04143100
MEDICAL LICENSE
NJ
01
SERIAL#001120
USCG-CERTIFICATE OF REGISTRY-MEDICAL DOCTOR
Enumeration date
09/25/2008
Last updated
03/07/2023
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