Julie Doty

Individual provider Active NPI School Registered Nurse · Mount Morris, NY

NPI 1275935835 · NPPES record last updated Sep 25, 2014

Key facts

NPI
1275935835
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
22682147 (NY)
Practice address
30 Bonadonna Ave
Mount Morris, NY 14510-1439
Phone
(585) 658-5000
NPI assigned
Sep 25, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22682147NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 22682147 NY Yes

Addresses

Primary practice location

30 Bonadonna Ave
Mount Morris, NY 14510-1439

Mailing address

30 Bonadonna Ave
Mount Morris, NY 14510-1439
Phone (585) 658-5000

Other identifiers

IdentifierTypeStateIssuer
01368845MedicaidNY

Other providers in Mount Morris, NY

All providers in Mount Morris, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.