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Contact Information

SUSAN E DOUGHERTY, NP-CNM
535 MAIN ST
OLEAN, NY14760
 Phone: 716-372-0141
 Fax: 716-372-6421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN E DOUGHERTY · (Female)

NPI # 1295708774
Status Active
Credentials NP-CNM
Entity Individual
Enumeration date 02/07/2006
Last updated 06/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F000461
  • NY License # F420192
  • NY Medicaid 01436364
Hospital affiliation(s)
  • OLEAN GENERAL HOSPITAL - (Acute Care)
    515 MAIN STREET
    OLEAN, NY 14760
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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