Individual
DENISE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142-02 20TH AVE, FLUSHING, NY 11351
(718) 559-0555
Mailing address
16 LOMA ST, MEDFORD, NY 11763-4407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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