Chris Doherty, is a
Licensed Practical Nurse based in Campbell Hall, New York. Chris Doherty is licensed to practice in New York (license number 276788) and his current practice location is
102 Neelytown Rd, Campbell Hall, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 422-6932.
NPI number for Chris Doherty is 1255736096 and his current mailing address is 102 Neelytown Rd, Campbell Hall, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255736096.
Provider's Profile
| Full Name | Chris Doherty |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 102 Neelytown Rd, Campbell Hall, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255736096
- Provider Enumeration Date: 10/22/2014
- Last Update Date: 10/22/2014
Medical Identifiers
Medical identifiers for Chris Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255736096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 276788 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chris Doherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chris Doherty,
102 Neelytown Rd,
Campbell Hall, NY 10916-2807
Ph: () - | Chris Doherty,
102 Neelytown Rd,
Campbell Hall, NY 10916-2807
Ph: (845) 422-6932 |
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