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Contact Information

STEPHANIE N GILLERAN, DO
285 SILLS RD
BUILDING 7, SUITE B
EAST PATCHOGUE, NY11772-4869
 Phone: 631-654-4577
 Fax: 631-654-3391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE N GILLERAN · (Female)

NPI # 1902892581
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/20/2005
Last updated 08/16/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 221807
  • NY Medicaid 02556187
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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