Healthcare Provider Details

I. General information

NPI: 1003099748
Provider Name (Legal Business Name): ANN E MURPHY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 E 109TH ST
NEW YORK NY
10029-3749
US

IV. Provider business mailing address

219 E 109TH ST
NEW YORK NY
10029-3749
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-8818
  • Fax:
Mailing address:
  • Phone: 212-241-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberF380549
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: