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NPI Code Detail

MEDICARE: MAUREEN NELLIGAN M.D.

MEDICARE: MAUREEN NELLIGAN M.D.
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
1173000000XLegal Medicine203015NY

General Provider Information

NPI Number : 1811973456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN NELLIGAN M.D.
Provider Business Mailing Address
First Line : 73 MARKET ST
Second Line : RIDGE HILL
City : YONKERS
State : NY
Zip : 10710-7616
Country : US
Telephone Number : 914-848-8085
Fax Number : 914-848-8062
Provider Business Practice Location Address
First Line : 73 MARKET ST
Second Line : RIDGE HILL
City : YONKERS
State : NY
Zip : 10710-7616
Country : US
Telephone Number : 914-848-8085
Fax Number : 914-848-8062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 10/30/2013

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Directions to “ MAUREEN NELLIGAN M.D.” Practice Location

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