MEDICARE: MRS. SALLY ANN MURPHY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	021272-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1779725	OTHER	NY	UNITED HEALTHCARE
2	N46882	OTHER	NY	HEALTH NET

General Provider Information

NPI Number	:	1285662601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SALLY ANN MURPHY PT

Provider Business Mailing Address
First Line	:	12 E 46TH ST FL 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-2418
Country	:	US
Telephone Number	:	212-499-0876
Fax Number	:	212-953-1353

Provider Business Practice Location Address
First Line	:	330 W 58TH ST
Second Line	:	SUITE 203
City	:	NEW YORK
State	:	NY
Zip	:	10019-1827
Country	:	US
Telephone Number	:	212-582-7020
Fax Number	:	212-582-7021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/15/2008

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