Individual
MRS. PATRICIA D DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 KEEGANS LN, STATEN ISLAND, NY 10308-3046
(570) 470-9291
(570) 826-2235
Mailing address
60 KEEGANS LN, STATEN ISLAND, NY 10308-3046
(570) 470-9291
(570) 826-2235
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
01/09/2024
Last updated
01/10/2024
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