John Michael Nelligan in Gansevoort - Physician Assistant

John Michael Nelligan - NPI 1255420089

John Michael Nelligan is a Physician Assistant in Gansevoort, New York. John Michael Nelligan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Michael Nelligan is 1255420089. The last update date is 2007-09-20.

John Michael Nelligan's current location address is 14 Mountain Ledge, Gansevoort, New York. You can contact this provider via phone number 5185844953 and fax number 5185847916. The mailing address for John Michael Nelligan is 14 Mountain Ledge, Gansevoort, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Nelligan
Address 14 Mountain Ledge, Gansevoort, New York
Phone Number 5185844953
Fax Number 5185847916
Sole Proprietor N
Credentials RPA

NPI Number Detail

NPI Number 1255420089
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-09-20

Provider Mailing Address Detail

Address 14 Mountain Ledge
City Gansevoort
State New York (NY)
Post Code 128311858
Phone Number 5185844953
Fax Number 5185847916

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 007811-1
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about John Michael Nelligan

Where is the John Michael Nelligan located?

The John Michael Nelligan is located at 14 Mountain Ledge, Gansevoort, NY 128311858.

Could you please provide the complete physical location address of John Michael Nelligan?

The John Michael Nelligan is physically situated at 14 Mountain Ledge, in the city of Gansevoort, state of NY, with the postal code 128311858.

What is the John Michael Nelligan's specialty and taxonomy code?

The John Michael Nelligan's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the John Michael Nelligan's 1255420089 issued?

The John Michael Nelligan's 1255420089 was issued on 2006-10-12.

When was the information pertaining to John Michael Nelligan most recently updated or revised?

The details related to John Michael Nelligan, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-20.

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