Individual
DR. JOHN P DOCHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 843-2541
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 843-2541
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
111860
NY
2084P0800X
Psychiatry Physician
Primary
111860
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111860
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
01/11/2012
Last updated
03/07/2023
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