Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 010892 | NY |
NPI | 1023376332 |
---|---|
Provider Name | Ms. Ann Marie Murphy |
First Address | Brooklyn, NY 11215-1030 |
Second Address | Brooklyn, NY 11215-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 25/04/2012 |