Healthcare Provider Details

I. General information

NPI: 1871863506
Provider Name (Legal Business Name): CHARLES A MURKOFSKY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 5TH AVE
NEW YORK NY
10021-4157
US

IV. Provider business mailing address

9 E 93RD ST
NEW YORK NY
10128-0666
US

V. Phone/Fax

Practice location:
  • Phone: 212-744-7100
  • Fax: 212-327-3270
Mailing address:
  • Phone: 212-327-3270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number105789
License Number StateNY

VIII. Authorized Official

Name: DR. CHARLES MURKOFSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 212-327-3270