Individual provider · Type 1 NPI
Gillian Alice Dougherty
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1649918764
Active
Practice location
51 E 25th St Fl 5
New York, NY 10010-8208
Fax (718) 744-2601
Mailing address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Other practice locations
- 187 18th St Apt 3F, Brooklyn, NY 11215-5396 · (610) 998-5036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404137 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1649918764
Gillian Alice Dougherty's National Provider Identifier is 1649918764, issued on May 27, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Sep 22, 2026.