Individual
MR. MATTHEW COONEY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1099 JAY ST STE 200, ROCHESTER, NY 14611-1153
(585) 328-0834
Mailing address
1099 JAY ST STE 200, ROCHESTER, NY 14611-1153
(585) 328-0834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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