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NPI Code Detail

MEDICARE: BARBARA DOHERTY RN

MEDICARE: BARBARA DOHERTY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse673789NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1673789OTHERNYREGISTERED NURSE

General Provider Information

NPI Number : 1568803104
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DOHERTY RN
Provider Business Mailing Address
First Line : 814 JEFFERSON BLVD
Second Line :
City : FISHKILL
State : NY
Zip : 12524-3922
Country : US
Telephone Number : 845-608-9219
Fax Number :
Provider Business Practice Location Address
First Line : 814 JEFFERSON BLVD
Second Line :
City : FISHKILL
State : NY
Zip : 12524-3922
Country : US
Telephone Number : 848-456-0892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 09/22/2025

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