Dougherty, Douglas Andrew

Dougherty, Douglas Andrew is an individual health care provider with primary practice located at 1000 Franklin Ave Ste 100 , Garden City NY 11530-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dougherty, Douglas Andrew can be contacted via phone (516) 248-8334.

Contact Information

Primary practice address
1000 Franklin Ave Ste 100 Garden City NY 11530-2910
Phone: (516) 248-8334
Fax: (516) 248-1357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 192176 New York

Profile Details

NPI number 1962406538
LBN Legal business name Dougherty, Douglas Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 26th, 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 1962406538 NPPES
New York MEDICAID 01488059

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