Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 019204-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 019204-1 | NY |
NPI | 1043287063 |
---|---|
Provider Name | Dr. Michael David Murray |
First Address | Baldwin Harbor, NY 11510-5049 |
Second Address | Baldwin Harbor, NY 11510-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 30/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04205881 | (05) | NY |