Individual provider · Type 1 NPI

Gina M. Doughty

Licensed Practical Nurse · East Syracuse, NY

NPI number 1962724906 Active

Practice location

6101 E Molloy Rd
East Syracuse, NY 13057-1175

Call (315) 432-5636 Map

Mailing address

6010 E. Molloy Road
East Syracuse, NY 13057

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293269-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1962724906

Gina M. Doughty's National Provider Identifier is 1962724906, issued on Feb 18, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East Syracuse, NY. The record was last updated on Feb 18, 2010.