Provider Demographics
NPI:1285740613
Name:MURRAY AND WRAY
Entity type:Organization
Organization Name:MURRAY AND WRAY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-464-4472
Mailing Address - Street 1:550 HARRISON ST
Mailing Address - Street 2:STE 128
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-3096
Mailing Address - Country:US
Mailing Address - Phone:315-464-4472
Mailing Address - Fax:315-464-5229
Practice Address - Street 1:102 W SENECA ST
Practice Address - Street 2:STE 110
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-2480
Practice Address - Country:US
Practice Address - Phone:315-464-4472
Practice Address - Fax:315-464-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01274166Medicaid
NYAA0191Medicare ID - Type Unspecified