Doherty, Gerald John
Doherty, Gerald John is an individual health care provider with primary practice located at 9525 Queens Blvd Ste 501 , Rego Park NY 11374-4503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Doherty, Gerald John can be contacted via phone (718) 460-2300.Contact Information
Primary practice address
9525 Queens Blvd Ste 501
Rego Park NY 11374-4503
Phone: (718) 460-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 329130 | New York |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 329130 | New York |
Profile Details
| NPI number | 1285211599 |
|---|---|
| LBN Legal business name | Doherty, Gerald John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2021 |
| Last updated | Jul 2nd, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285211599 | NPPES |
| New York | Other | 329130 | PHYSICIAN LICENSE |
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