Individual provider · Type 1 NPI

Crystal R. Dougherty, RN

Registered Nurse · Holbrook, NY

NPI number 1356585400 Active

Practice location

31 Mark Dr
Holbrook, NY 11741-5810

Mailing address

74 Glen Summer Rd
Holbrook, NY 11741-5008

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X612980-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1356585400

Crystal R. Dougherty, RN's National Provider Identifier is 1356585400, issued on Apr 20, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Holbrook, NY. The record was last updated on Nov 20, 2017.