Individual
MS. THERESA DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(917) 204-0127
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(917) 204-0127
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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