Individual
DR. MICHAEL VINCENT GILLIGAN GORMALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
311066
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311066
NY STATE LICENSE
NY
Enumeration date
05/19/2019
Last updated
03/07/2023
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