Individual
JAMIE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 CULVER RD, SUITE 2A, ROCHESTER, NY 14609-1738
(585) 342-2410
(585) 342-9141
Mailing address
2619 CULVER RD, SUITE 2A, ROCHESTER, NY 14609-1738
(585) 342-2410
(585) 342-9141
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013831-1
NY
Other
Enumeration date
03/05/2010
Last updated
07/02/2012
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