DIANNE BARBARA DOUGHERTY

STATEN ISLAND, NY
NPI1134697808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  2017026718)
Enumeration Date2018-11-10
Last Update Date2018-11-10
Business Address
Mrs. DIANNE BARBARA DOUGHERTY FNP
50 PENBROKE AVE
STATEN ISLAND, NY 10301-2061
Phone number: 718-986-7674
Mailing Address
Mrs. DIANNE BARBARA DOUGHERTY FNP
50 PENBROKE AVE
STATEN ISLAND, NY 10301-2061
Phone number: 718-986-7674
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