Provider Demographics
NPI:1194137984
Name:GALLIGAN, MARGARET E (MS, CNS, CDN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:GALLIGAN
Suffix:
Gender:F
Credentials:MS, CNS, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 3RD AVE
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1901
Mailing Address - Country:US
Mailing Address - Phone:917-940-9898
Mailing Address - Fax:
Practice Address - Street 1:245 E 93RD ST
Practice Address - Street 2:21A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3966
Practice Address - Country:US
Practice Address - Phone:917-940-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7962133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist