Mark Doherty, LAC, LMT
NPI #1144862822 in Massapequa, New York
Provider Information
- NPI Number
- 1144862822
- Entity Type
- Individual
- Name
- Mark Doherty, LAC, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Acupuncturist
- Credential
- LAC, LMT
- Enumeration Date
- Oct 14, 2019
- Last Updated
- Feb 17, 2022
Practice Location
- Address
- 623 BROADWAY
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-5027
- Phone
- (516) 781-1078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
| Acupuncturist |
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