Individual
KEVIN MICHAEL DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, HOME VISITING PHYSICIANS, ALBANY, NY 12208-1707
(518) 346-3100
Mailing address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1003
(518) 587-1141
(518) 587-1152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187566
—
NY
01
—
080191429
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
03/20/2017
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