Provider Demographics
NPI:1699754663
Name:MURPHY, PATRICIA D (PT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 MAIN ST
Mailing Address - Street 2:FARMINGDALE PHYSICAL THERAPY
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735
Mailing Address - Country:US
Mailing Address - Phone:516-293-0565
Mailing Address - Fax:516-293-1897
Practice Address - Street 1:326 MAIN ST
Practice Address - Street 2:FARMINGDALE PHYSICAL THERAPY
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735
Practice Address - Country:US
Practice Address - Phone:516-293-0565
Practice Address - Fax:516-293-1897
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0238871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ08Y91Medicare ID - Type Unspecified