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

MS. Mary Doherty, MSED/SPECEDCERT

Individual provider Early Intervention Provider Agency · NPI 1700149291

MS. Mary Doherty, MSED/SPECEDCERT is an Early Intervention Provider Agency in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

68 Fitchburg St
Bay Shore, NY 11706-4638
Phone: (631) 665-7113
Show map & directions

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

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 570723 (NY)

Record details

NPI number1700149291
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED/SPECEDCERT
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012

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