Basic Information
| Provider Information | |||||||||
| NPI: | 1003960014 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURRAY | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 W 24TH ST | ||||||||
| Address2: | GROUND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100111913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127467158 | ||||||||
| FaxNumber: | 2127467166 | ||||||||
| Practice Location | |||||||||
| Address1: | 119 W 24TH ST | ||||||||
| Address2: | GROUND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100111913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127467158 | ||||||||
| FaxNumber: | 2127467166 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2007 | ||||||||
| LastUpdateDate: | 10/31/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 204927 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 02513959 | 05 | NY | MEDICAID |