Individual
DR. PAUL EDWARD DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
435 E HENRIETTA RD, CONSULTATIVE SERVICES, ROCHESTER, NY 14620-4629
(585) 760-6270
(585) 760-6295
Mailing address
435 E HENRIETTA RD, CONSULTATIVE SERVICES, ROCHESTER, NY 14620-4629
(585) 760-6270
(585) 760-6295
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
X006538-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116580AN
PREFERRED CARE
NY
01
—
4415476
AETNA
NY
01
—
CO6538-5
WORK COMP
NY
Enumeration date
05/06/2006
Last updated
07/08/2007
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