Individual
NOREEN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1302 CARROLL ST, BROOKLYN, NY 11213-4208
(718) 230-5050
Mailing address
765 CARROLL ST, BROOKLYN, NY 11215-1402
(917) 207-6877
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060481
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2017
Last updated
04/25/2024
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