Individual
ROBERT P DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437
(585) 335-8661
(585) 335-8665
Mailing address
601 ELMWOOD AVE BOX 679-B, ROCHESTER, NY 14642-0001
(585) 275-1707
(585) 335-8665
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
209212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154621
—
NY
Enumeration date
05/31/2005
Last updated
06/29/2023
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