RYAN ALEXANDER DOHERTY

BAY SHORE, NY
NPI1861135139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  026682)
Enumeration Date2022-04-15
Last Update Date2022-04-15
Business Address
Mr. RYAN ALEXANDER DOHERTY
94 W MAIN ST
BAY SHORE, NY 11706-8365
Phone number: 631-983-3724
Mailing Address
Mr. RYAN ALEXANDER DOHERTY
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859