Provider Demographics
NPI:1194095349
Name:MURRAY, ROSALIE
Entity type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 WESTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:THORNWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10594-1945
Mailing Address - Country:US
Mailing Address - Phone:914-769-8539
Mailing Address - Fax:914-769-0120
Practice Address - Street 1:825 WESTLAKE DR
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1945
Practice Address - Country:US
Practice Address - Phone:914-769-8539
Practice Address - Fax:914-769-0120
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233482-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool