Doherty, Katelyn Alyssa

Doherty, Katelyn Alyssa is an individual health care provider with primary practice located at 45 Research Way Ste 108 , East Setauket NY 11733-6401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Doherty, Katelyn Alyssa can be contacted via phone (631) 941-2000.

Contact Information

Primary practice address
45 Research Way Ste 108 East Setauket NY 11733-6401
Fax: (631) 941-2010
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F309820-01 New York

Profile Details

NPI number 1851991194
LBN Legal business name Doherty, Katelyn Alyssa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Nov 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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