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General NPI Number Information
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NPI Number | 1972599645
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Entity Type | Individual
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Provider Name | EILEEN FRANCES COLLIGAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 53 GIBSON ROAD
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City | GOSHEN
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State | NY
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Zip | 10924
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Country | US
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Telephone | 845-291-0100
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Fax | 845-343-5390
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Provider Business Mailing Address
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Address Line | PO BOX 987 21 ORCHARD STREET
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City | MIDDLETOWN
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State | NY
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Zip | 10940-5004
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Country | US
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Telephone | 845-343-7614
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Fax | 845-343-5390
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125788
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 125788
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License Number State | NY
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