Dougherty, David R

Dougherty, David R is an individual health care provider with primary practice located at 295 Essjay Rd , Williamsville NY 14221-8216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Dougherty, David R can be contacted via phone (716) 630-1045.

Contact Information

Primary practice address
295 Essjay Rd Williamsville NY 14221-8216
Phone: (716) 630-1045
Fax: (716) 630-1451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 190466-1 New York

Profile Details

NPI number 1235196189
LBN Legal business name Dougherty, David R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235196189 NPPES
New York Other 00010047601 UNIVERA
New York Other 060030225 UNIVERA
New York Other 161000580 UNIVERA
New York MEDICAID 01503039 UNIVERA
New York Other 2706325 UNIVERA
New York Other 000523376001 UNIVERA
New York Other 161000580 UNIVERA
New York Other 2504875 UNIVERA

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