Individual provider · Type 1 NPI

Carol M. Doherty

Specialist · Stony Brook, NY

NPI number 1972022234 Active

Practice location

7 Haskel Lane
Stony Brook, NY 11790

Call (631) 751-1979 Map

Mailing address

7 Haskel Ln
Stony Brook, NY 11790-2310

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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.

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About NPI 1972022234

Carol M. Doherty's National Provider Identifier is 1972022234, issued on Sep 18, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 21, 2022.