CARLA RICCIARDONE DOHERTY NPI 1699288480

NPI Information

NPI: 1699288480
Provider Name: CARLA RICCIARDONE DOHERTY
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
387 WATERBURY HILL RD
LAGRANGEVILLE, NY
ZIP 12540
Phone: (215) 341-1684
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Carla Ricciardone Doherty is a specialist in Lagrangeville, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Carla Ricciardone Doherty NPI is 1699288480. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

387 WATERBURY HILL RD
LAGRANGEVILLE, NY
ZIP 12540-320
Phone: (215) 341-1684

The enumeration date for this NPI number is 11/15/2017 and was last updated on 11/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	OTHER	NEW YORK	SSI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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