Individual
LOUISE CHRISTINE DOUGHERTY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6412 OCEAN AVE NORTH, ARVERNE, NY 11692
(646) 469-3059
(718) 758-7607
Mailing address
6412 OCEAN AVE NORTH, ARVERNE, NY 11692
(646) 469-3059
(718) 758-7607
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
360447
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360447
RN LICENCE
NY
Enumeration date
03/10/2018
Last updated
03/10/2018
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