Provider Demographics
NPI:1457590309
Name:HEDIGAN, CECIL (LAC, MS, LMT)
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:
Last Name:HEDIGAN
Suffix:
Gender:M
Credentials:LAC, MS, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNION SQ W STE 435
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3233
Mailing Address - Country:US
Mailing Address - Phone:191-790-3460
Mailing Address - Fax:
Practice Address - Street 1:41 UNION SQ W STE 435
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3233
Practice Address - Country:US
Practice Address - Phone:917-903-4609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5934225700000X
NY2453171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist