# DR. PAUL EDWARD DOUGHERTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356390678
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0800X | Orthopedic Chiropractor | X006538-1 | NY | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 116580AN | PREFERRED CARE | NY |
| 01 | — | 4415476 | AETNA | NY |
| 01 | — | CO6538-5 | WORK COMP | NY |
