Healthcare Provider Details

I. General information

NPI: 1003960014
Provider Name (Legal Business Name): JOSEPH FRANCIS MURRAY III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W 24TH ST GROUND FLOOR
NEW YORK NY
10011-1913
US

IV. Provider business mailing address

119 W 24TH ST GROUND FLOOR
NEW YORK NY
10011-1913
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-7158
  • Fax: 212-746-7166
Mailing address:
  • Phone: 212-746-7158
  • Fax: 212-746-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number204927
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: