Individual provider · Type 1 NPI

Joann Doherty, M.S. ED.

Specialist · Deer Park, NY

NPI number 1255694972 Active

Practice location

1 Brandywine Dr
Deer Park, NY 11729-5721

Call (631) 392-0081 Map

Mailing address

19 Wagon Ln
Centereach, NY 11720-2533

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1176279 (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.

24 other providers at this address

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About NPI 1255694972

Joann Doherty, M.S. ED.'s National Provider Identifier is 1255694972, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Deer Park, NY. The record was last updated on Jun 18, 2012.