Frank Joseph Daugherty, CRNA
Nurse Anesthetist, Certified Registered in Mineola, NY. Individual provider (NPI-1).
NPI number1790714152
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1790714152
- Entity type
- Individual (NPI-1)
- Name
- Mr. Frank Joseph Daugherty
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2006
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 407130 | NY | Yes |
Practice location
216 1st StMineola, NY 11501-3901
Phone 516-663-2216
Mailing address
30 Little Neck RdCenterport, NY 11721-1668
Phone 631-239-1323 · Fax 631-239-1323
Other practice locations
30 Little Neck Rd
Centerport, NY 11721-1668
Centerport, NY 11721-1668
Phone 631-239-1323 · Fax 631-239-1323
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