Devon Adare Dougherty Valid NPI

Individual provider · Surgical Physician Assistant · Manhasset, NY

NPI

1790345148

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

Sex

Female

Sole proprietor

No

Enumerated

2019-06-18

Last updated

2019-06-18