National Provider Identifier
David R Dougherty, DO
David R Dougherty, DO is listed in the NPPES registry with a primary specialty of Medical Oncology Physician in Williamsville, NY and a listed phone number of (716) 630-1045.
Profile Overview
- NPI
- 1235196189
- Provider Type
- Individual
- Primary Specialty
- Medical Oncology Physician
- Enumeration Date
- April 26, 2006
- Last Updated
- December 10, 2021
Practice Location
- 295 Essjay RD
- Williamsville, NY 14221-8216
Phone: (716) 630-1045
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Medical Oncology Physician (207RX0202X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221
Full Record
- NPI
- 1235196189
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- David
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 295 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8216
- Practice Country
- US
- Practice Phone
- (716) 630-1045
- Practice Fax
- (716) 630-1451
- Enumeration Date
- April 26, 2006
- Last Updated
- December 10, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Oncology Physician (207RX0202X)
- Other Identifiers
- 00010047601 (NY, Univera), 060030225 (NY, Rr Medicare), 161000580 (NY, North American Preferred), 01503039 (NY), 2706325 (NY, Iha), 000523376001 (NY, Health Now), 161000580 (NY, Empire), 2504875 (NY, Ghi)