Individual
MRS. LINDA A DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3310 NUTLY CIR, YORKTOWN HEIGHTS, NY 10598-1207
(914) 245-2103
Mailing address
3310 NUTLY CIR, YORKTOWN HEIGHTS, NY 10598-1207
(914) 245-2103
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
261551-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211232
—
NY
Enumeration date
04/11/2007
Last updated
07/09/2007
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