TREVOR JAMES DOHERTY

NEW YORK, NY
NPI1043875974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023899)
Enumeration Date2019-05-06
Last Update Date2020-09-18
Business Address
TREVOR JAMES DOHERTY
5141 BROADWAY # 2FW-095
NEW YORK, NY 10034-1159
Phone number: 212-932-5218
Mailing Address
TREVOR JAMES DOHERTY
60 STILLSON RD
FAIRFIELD, CT 06825-3212
Phone number: 203-209-2106
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