Individual provider · Type 1 NPI

Trevor James Doherty

Physician Assistant · New York, NY

NPI number 1043875974 Active

Practice location

5141 Broadway # 2FW-095
New York, NY 10034-1159

Fax (212) 932-5258

Mailing address

60 Stillson Rd
Fairfield, CT 06825-3212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X023899 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043875974

Trevor James Doherty's National Provider Identifier is 1043875974, issued on May 6, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Sep 18, 2020.