Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 010973-1 | NY |
NPI | 1184660128 |
---|---|
Provider Name | Janet Lynne Murphy |
First Address | Fayetteville, NY 13066-1331 |
Second Address | Fayetteville, NY 13066-1331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000922960006 | HEALTHNOW NY (01) | NY |
161303109 | CIGNA (01) | NY |
AA1220 | MEDICAID (01) | NY |