Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | OT015331 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 283308 | NY |
NPI | 1215373949 |
---|---|
Provider Name | Kristina Johanna Murphy |
First Address | New Hyde Park, NY 11040-1433 |
Second Address | New Hyde Park, NY 11040-1433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 07/03/2017 |