Doherty, Mary

Doherty, Mary is an sole proprietor health care provider with primary practice located at 68 Fitchburg St , Bay Shore NY 11706-4638. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Doherty, Mary can be contacted via phone (631) 665-7113.

Contact Information

Primary practice address
68 Fitchburg St Bay Shore NY 11706-4638
Phone: (631) 665-7113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 570723 New York

Profile Details

NPI number 1700149291
LBN Legal business name Doherty, Mary
Credentials MS ED/SPEC ED CERT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2012
Last updated Jun 19th, 2012 - about 13 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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