Healthcare Provider Details

I. General information

NPI: 1912075086
Provider Name (Legal Business Name): NANCY MURPHY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 10TH AVE
NEW YORK NY
10019-1147
US

IV. Provider business mailing address

8529 109TH ST
RICHMOND HILL NY
11418-1234
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-6036
  • Fax: 212-523-7182
Mailing address:
  • Phone: 718-849-5386
  • Fax: 212-523-7182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF332510-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: