Healthcare Provider Details

I. General information

NPI: 1417860289
Provider Name (Legal Business Name): ANDREW MURRAY PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MASON ST
GENEVA NY
14456-1103
US

IV. Provider business mailing address

115 GOLDEN MEADOWS WAY
WARNERS NY
13164-9852
US

V. Phone/Fax

Practice location:
  • Phone: 315-787-4730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number053076
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: