MEDICARE: JET R MURPHY DO

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	390200000X	Student in an Organized Health Care Education/Training Program		NY

General Provider Information

NPI Number	:	1710825146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JET R MURPHY DO

Provider Business Mailing Address
First Line	:	777 CLINTON AVE S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-1448
Country	:	US
Telephone Number	:	585-279-4800
Fax Number	:	585-442-8319

Provider Business Practice Location Address
First Line	:	777 CLINTON AVE S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-1448
Country	:	US
Telephone Number	:	585-279-4800
Fax Number	:	585-442-8319

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	04/21/2026

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Directions to “ JET R MURPHY DO” Practice Location

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