Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N002583-1 | NY |
Y | 222Z00000X | Podiatrist | N002583-1 | NY |
NPI | 1013123272 |
---|---|
Provider Name | Dr. Gerald T. Murphy |
First Address | Lake Grove, NY 11755-2510 |
Second Address | Lake Grove, NY 11755-2510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 10/02/2010 |