Individual provider · Type 1 NPI

Fallon Dougherty, M.S. ED.

Specialist · New York, NY

NPI number 1225399298 Active

Practice location

60 Madison Ave
New York, NY 10010-1600

Call (212) 684-0099 Map

Mailing address

229 Pointe Cir N
Coram, NY 11727-1544

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1263305 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225399298

Fallon Dougherty, M.S. ED.'s National Provider Identifier is 1225399298, issued on Jun 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jun 6, 2012.