Individual
DR. NANCY JEAN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1400 PELHAM PKWY S, ACP, RM 3C15, BRONX, NY 10461-1138
(718) 918-3602
(718) 918-6147
Mailing address
2185 LEMOINE AVE, APT. 5L, FORT LEE, NJ 07024-6036
(718) 918-3602
(718) 918-6147
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
039776
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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