Individual
ANGELA CATHERINE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-5823
Mailing address
601 ELMWOOD AVE BOX 704, ROCHESTER, NY 14642-0001
(585) 275-5823
(585) 273-1051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
752121
NY
363AM0700X
Medical Physician Assistant
350769
NY
363LF0000X
Family Nurse Practitioner
Primary
350769
NY
Other
Enumeration date
08/29/2022
Last updated
10/10/2023
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