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NPI Code Detail

MEDICARE: SHAVEAZ MURPHY

MEDICARE: SHAVEAZ MURPHY
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
1106S00000XBehavior Technician22369419NC

General Provider Information

NPI Number : 1558227942
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAVEAZ MURPHY
Provider Business Mailing Address
First Line : 945 N CENTRAL AVE
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1604
Country : US
Telephone Number : 516-206-8900
Fax Number :
Provider Business Practice Location Address
First Line : 945 N CENTRAL AVE
Second Line :
City : WOODMERE
State : NY
Zip : 11598-1604
Country : US
Telephone Number : 516-206-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ SHAVEAZ MURPHY ” Practice Location

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