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Individual

ALEXANDRA NICOLE DOHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
555 BROADHOLLOW RD STE 230, MELVILLE, NY 11747-5020
(631) 505-2961
Mailing address
828 TANGLEWOOD RD, WEST ISLIP, NY 11795-3533
(631) 418-6883

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NY

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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