Individual provider · Type 1 NPI
Devon Adare Dougherty
Surgical Physician Assistant · Manhasset, NY
NPI number
1790345148
Active
Practice location
300 Community Dr
Manhasset, NY 11030-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1790345148
Devon Adare Dougherty's National Provider Identifier is 1790345148, issued on Jun 18, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Manhasset, NY. The record was last updated on Jun 18, 2019.