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

Mitchel Daugherty

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063154458

Mitchel Daugherty is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1063154458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2022
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

Other providers in Syracuse