Individual
VIRGINIA M DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 FLOYD RD, N/A, SHIRLEY, NY 11967-1196
(631) 281-0843
Mailing address
34 FLOYD RD, N/A, SHIRLEY, NY 11967
(631) 281-0843
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
328612
NY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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