Dougherty, Justin Wilfred

Dougherty, Justin Wilfred is an sole proprietor health care provider with primary practice located at 516 Lakeville Rd , New Hyde Park NY 11040-3006. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Dougherty, Justin Wilfred can be contacted via phone (516) 993-1416.

Contact Information

Primary practice address
516 Lakeville Rd New Hyde Park NY 11040-3006
Phone: (516) 993-1416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 25005672 New York

Profile Details

NPI number 1407229594
LBN Legal business name Dougherty, Justin Wilfred
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2015
Last updated Jul 8th, 2016 - about 10 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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