Doherty, Michelle Nicole

Doherty, Michelle Nicole is an individual health care provider with primary practice located at 171 Intrepid Ln , Syracuse NY 13205-2548. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Doherty, Michelle Nicole can be contacted via phone (315) 437-4689.

Contact Information

Primary practice address
171 Intrepid Ln Syracuse NY 13205-2548
Phone: (315) 437-4689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X New York

Profile Details

NPI number 1659890705
LBN Legal business name Doherty, Michelle Nicole
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2017
Last updated Sep 10th, 2017 - about 9 years 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.

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