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Dr. Michael Vincent Gilligan Gormally, MDPHD
Hematology & Oncology Physician in New York, New York
NPI 1710543376

Michael Vincent Gilligan Gormally is a Hematology & Oncology Physician based in New York, NY and is specialized in Hematology & Oncology. Michael Vincent Gilligan Gormally practices in New York, NY and has the professional credentials of MDPHD. The NPI Number for Michael Vincent Gilligan Gormally is 1710543376 and holds a License No. 311066 (New York).

The current practice location address for Michael Vincent Gilligan Gormally is 1275 York Ave, New York, NY and can be reached out via phone at 212-639-2000.

Location: 1275 York Ave, New York, NY, 10065-6007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710543376
Provider Name
Michael Vincent Gilligan Gormally
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
1275 York Ave, New York, NY, 10065-6007
Phone Number
212-639-2000
Fax Number
Provider Enumeration Date
05/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311066 01 NY NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1275 York Ave
City
New York
State
New York
Zip
10065-6007
Phone Number
212-639-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1275 York Ave
City
New York
State
New York
Zip
10065-6007
Phone Number
212-639-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
311066 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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