Individual
ALICIA JEAN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 NESCONSET HWY BLDG 14, STONY BROOK, NY 11790-2555
(631) 689-6226
(631) 675-0736
Mailing address
2500 NESCONSET HWY BLDG 14, STONY BROOK, NY 11790-2555
(631) 689-6226
(631) 375-0736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
248234
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2008
Last updated
03/07/2024
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