NPI Code Details Logo

NPI 1417860289

NPI 1417860289 : ANDREW MURRAY PT : GENEVA, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417860289
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREW MURRAY PT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/23/2026
-----------------------------------------------------
    Last Update Date     |    09/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    75 MASON ST 
-----------------------------------------------------
    City                 |    GENEVA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    14456-1103
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-787-4730
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    115 GOLDEN MEADOWS WAY 
-----------------------------------------------------
    City                 |    WARNERS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13164-9852
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    053076
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.