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NPI Code Detail

MEDICARE: ANN MARIE GILLIGAN

MEDICARE:   ANN MARIE  GILLIGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1386014363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE GILLIGAN
Provider Business Mailing Address
First Line : 42 WINCHESTER AVE
Second Line :
City : YONKERS
State : NY
Zip : 10710-5857
Country : US
Telephone Number : 914-419-1732
Fax Number :
Provider Business Practice Location Address
First Line : 3942 E.TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10465
Country : US
Telephone Number : 347-398-8358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2015
Last Update Date : 10/02/2015

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Directions to “ ANN MARIE GILLIGAN ” Practice Location

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