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Mitchel Daugherty
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1063154458

Mitchel Daugherty is a Student in an Organized Health Care Education/Training Program based in Sterling, NY. Mitchel Daugherty practices in Syracuse, NY. The NPI Number for Mitchel Daugherty is 1063154458 and holds a License No. (New York).

The current practice location address for Mitchel Daugherty is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-5030.

Location: 750 E Adams St, Syracuse, NY, 99672-0148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063154458
Provider Name
Mitchel Daugherty
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 99672-0148
Phone Number
315-464-5030
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-5030
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-5030
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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