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1861135139
RYAN ALEXANDER DOHERTY
BAY SHORE, NY
NPI
1861135139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 026682)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
Mr. RYAN ALEXANDER DOHERTY
94 W MAIN ST
BAY SHORE, NY 11706-8365
Phone number: 631-983-3724
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Mailing Address
Mr. RYAN ALEXANDER DOHERTY
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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