Individual
GERALDINE M DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
190 WASHINGTON AVE, BATAVIA, NY 14020-2113
(585) 344-1227
Mailing address
6043 MAIN RD, STAFFORD, NY 14143-9519
(585) 330-1462
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
131069-J
NY
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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