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1194927780
PAUL DAUGHERTY
MARCY, NY
NPI
1194927780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 400902)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
PAUL DAUGHERTY
300 WRIGHT AVENUE
MARCY, NY 13404
Phone number: 315-736-8271
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Mailing Address
PAUL DAUGHERTY
127 HORSEHEADS BLVD
ELMIRA HEIGHTS, NY 14903-1929
Phone number:
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