Provider Demographics
NPI:1972598621
Name:MURRAY HILL MEDICAL GROUP PC
Entity type:Organization
Organization Name:MURRAY HILL MEDICAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:FREJKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-726-7490
Mailing Address - Street 1:317 EAST 34TH STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-726-7412
Mailing Address - Fax:212-981-7294
Practice Address - Street 1:317 EAST 34TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-726-7400
Practice Address - Fax:212-981-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221459261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW22741Medicare PIN
NY5575250001Medicare NSC