National Provider Identifier
Jamie Dougherty
Jamie Dougherty is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 342-2410.
Profile Overview
- NPI
- 1932422920
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- March 05, 2010
- Last Updated
- July 02, 2012
Practice Location
- 2619 Culver RD
- Suite 2A
- Rochester, NY 14609-1738
Phone: (585) 342-2410
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1932422920
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Jamie
- Mailing Street Address
- 2619 Culver RD
- Mailing Address Line 2
- Suite 2A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-1738
- Mailing Country
- US
- Mailing Phone
- (585) 342-2410
- Mailing Fax
- (585) 342-9141
- Practice Street Address
- 2619 Culver RD
- Practice Address Line 2
- Suite 2A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-1738
- Practice Country
- US
- Practice Phone
- (585) 342-2410
- Practice Fax
- (585) 342-9141
- Enumeration Date
- March 05, 2010
- Last Updated
- July 02, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)