Doherty, Mark

Doherty, Mark is an individual health care provider with primary practice located at 623 Broadway , Massapequa NY 11758-5027. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is his primary health care specialty. Doherty, Mark can be contacted via phone (516) 781-1078.

Contact Information

Primary practice address
623 Broadway Massapequa NY 11758-5027
Phone: (516) 781-1078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 030560 New York
Other Service Providers / Acupuncturist 171100000X 007088 New York

Profile Details

NPI number 1144862822
LBN Legal business name Doherty, Mark
Credentials LAC, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2019
Last updated Feb 17th, 2022 - 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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