MEDICARE: VANESSA MURPHY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	003177	NY

General Provider Information

NPI Number	:	1548041791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA MURPHY

Provider Business Mailing Address
First Line	:	52 LOMB MEMORIAL DR
Second Line	:	LBJ 3130
City	:	ROCHESTER
State	:	NY
Zip	:	14623
Country	:	US
Telephone Number	:	585-475-6473
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 LOMB MEMORIAL DR
Second Line	:	LBJ 3130
City	:	ROCHESTER
State	:	NY
Zip	:	14623
Country	:	US
Telephone Number	:	585-475-6473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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Directions to “ VANESSA MURPHY ” Practice Location

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