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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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