Dougherty, Carly

Dougherty, Carly is an sole proprietor health care provider with primary practice located at 19 Babylon Ave , West Islip NY 11795-1210. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Dougherty, Carly can be contacted via phone (631) 747-1109.

Contact Information

Primary practice address
19 Babylon Ave West Islip NY 11795-1210
Phone: (631) 747-1109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1558913459
LBN Legal business name Dougherty, Carly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2019
Last updated Jul 10th, 2019 - about 6 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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