MEDICARE: JOHN MURATORI MD

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	207Q00000X	Family Medicine Physician	221731	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881788123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MURATORI MD

Provider Business Mailing Address
First Line	:	158 E MAIN ST
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8302
Country	:	US
Telephone Number	:	631-665-5634
Fax Number	:	631-665-5639

Provider Business Practice Location Address
First Line	:	158 E MAIN ST
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8302
Country	:	US
Telephone Number	:	631-665-5634
Fax Number	:	631-665-5639

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/07/2014

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Directions to “ JOHN MURATORI MD” Practice Location

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