Max Logan Dougherty, MD, PhD
Internal Medicine, Hematology in New York, NY. Individual provider (NPI-1).
NPI number1164051637
StatusActive
Last updated in NPPESMay 21, 2026
Details
- NPI
- 1164051637
- Entity type
- Individual (NPI-1)
- Name
- Max Logan Dougherty
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- May 21, 2026
- Last updated
- May 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0000X | Internal Medicine, Hematology | 320619 | NY | Yes |
Practice location
1470 Madison AveNew York, NY 10029-6542
Phone 212-241-6756
Mailing address
1 Gustave L Levy PlNew York, NY 10029-6504
Other practice locations
17 E 102nd St
New York, NY 10029-5204
New York, NY 10029-5204
Phone 212-659-8551
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