Individual
MR. FRANK JOSEPH DAUGHERTY
Active
Individual
MR. FRANK JOSEPH DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
407130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3465690
TAX ID
NY
01
—
407130
LICENSE
NY
Enumeration date
06/30/2006
Last updated
08/11/2022
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