Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly Dougherty

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558913459

Carly Dougherty is a Student in an Organized Health Care Education/Training Program in West Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

19 Babylon Ave
West Islip, NY 11795-1210
Phone: (631) 747-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558913459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2019
Last updated in NPPESJuly 10, 2019
Mailing address19 Babylon Ave, West Islip, NY 11795-1210

Other providers in West Islip