Provider Demographics
NPI:1982759577
Name:GILHEENEY, STEPHEN WAYNE (MD, MMS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:WAYNE
Last Name:GILHEENEY
Suffix:
Gender:M
Credentials:MD, MMS
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Mailing Address - Street 1:345 E 94TH ST
Mailing Address - Street 2:APARTMENT 15B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5684
Mailing Address - Country:US
Mailing Address - Phone:212-534-6848
Mailing Address - Fax:
Practice Address - Street 1:MEMORIAL SLOAN KETTERING CANCER CENTER
Practice Address - Street 2:1275 YORK AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-639-2153
Practice Address - Fax:212-717-3239
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2187572080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology