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Individual
MR. RYAN ALEXANDER DOHERTY
Active
Individual
MR. RYAN ALEXANDER DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026682
NEW YORK STATE OFFICE OF THE PROFESSIONS
NY
Enumeration date
04/15/2022
Last updated
04/15/2022
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