MISS COLLEEN GRACE GILLIGAN (NPI# 1821370800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821370800 |
| Entity Type | Individual |
| Full Name | MISS COLLEEN GRACE GILLIGAN |
| Practice Address |
2171 Jericho Tpke Ste Ll3 Commack NY 11725-2900 |
| Mailing Address |
1841 Brentwood Rd Brentwood NY 11717-4625 |
| Practice Telephone | 6316035002 |
| Mailing Telephone | 6318537300 |
| Mailing Fax Number | 6318537301 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PSCHOTHERAPY/DIRECT CARE | 823156527 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1841 Brentwood Rd, Brentwood, NY 117174625 | 6318537300 | 6318537301 |
| Street Address |
2171 JERICHO TPKE STE LL3 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232454 | Alexandra Nastasi | Counselor | 368 Veterans Hwy Ste 3, Commack, NY 11725-4322 | 2020-10-11 |
| 1073126926 | Elizabeth Connolly | Counselor | 1 Speaker St, Commack, NY 11725-2012 | 2020-08-28 |
| 1780227611 | Denise Marie Demattia | Counselor | 368 Veterans Memorial Hwy Ste 3, Commack, NY 11725-4322 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225385 | Ellen Rubenfeld | Counselor | 186 Gannet Ct, Manhasset, NY 11030-4011 | 2020-11-04 |
| 1902407125 | Kelly Elizabeth Abbe | Counselor | 32 Eastport Dr, Sound Beach, NY 11789-1329 | 2020-11-04 |
| 1881291391 | Maria Preston | Counselor | 33 Saint Marks Ave, Rockville Centre, NY 11570-4244 | 2020-10-07 |
| 1124633821 | Patricia M Fischetti | Counselor | 8312 12th Ave, Brooklyn, NY 11228-2936 | 2020-09-10 |
| 1770197113 | Seema Ahmed | Counselor | 8784 172nd St, Jamaica, NY 11432-4650 | 2020-09-02 |
| 1871101949 | Lauren Jukofsky | Counselor | 2749 Brook Ave, Oceanside, NY 11572-2034 | 2020-07-15 |
| 1477176089 | Jennifer Lyn Ashley | Counselor | 4 Shutt St, Dansville, NY 14437-9158 | 2020-05-19 |
| 1710509799 | Laridian Koinonia | Counselor | 8115 5th Ave, Brooklyn, NY 11209-4102 | 2020-05-12 |
| 1124649207 | Garth Steel Nanni | Counselor | 57 W Crooked Hill Rd, Pearl River, NY 10965-1157 | 2020-04-30 |
| 1376178152 | Hallie Green | Counselor | 2646 W State St Ste 309, Olean, NY 14760-1866 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.