Individual
KEVIN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 S CENTRAL AVE, SUITE 305, HARTSDALE, NY 10530-2319
(914) 428-8004
Mailing address
141 S CENTRAL AVE, SUITE 305, HARTSDALE, NY 10530-2319
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
010340
NY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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