Healthcare Provider Details

I. General information

NPI: 1518355890
Provider Name (Legal Business Name): MARIA ELENA MURPHY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2015
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CLEVELAND ST
VALLEY STREAM NY
11580-6003
US

IV. Provider business mailing address

8211 PENELOPE AVE
MIDDLE VILLAGE NY
11379-2336
US

V. Phone/Fax

Practice location:
  • Phone: 516-823-0739
  • Fax: 516-823-1550
Mailing address:
  • Phone: 347-813-9885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359799
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: