Individual
DANIELLE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3436
Mailing address
187 LAKE AVE, LANCASTER, NY 14086-3109
(716) 861-0666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
630381
NY
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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