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NPI Code Detail

MEDICARE: DR. LOIS J BOOKHARDT-MURRAY MD

MEDICARE: DR. LOIS J BOOKHARDT-MURRAY MD
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
1207R00000XInternal Medicine Physician169908NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609805472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOIS J BOOKHARDT-MURRAY MD
Provider Business Mailing Address
First Line : 85 W BURNSIDE AVE
Second Line : MORRIS HEIGHTS HEALTH CENTER 3RD FLOOR
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-294-6912
Provider Business Practice Location Address
First Line : 85 W BURNSIDE AVE
Second Line : MORRIS HEIGHTS HEALTH CENTER 3RD FLOOR
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-294-6912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 12/19/2016

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