Provider Demographics
NPI:1003862897
Name:MURPHY, TONI M (DO)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:M
Other - Last Name:SPINARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:600 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1151
Mailing Address - Country:US
Mailing Address - Phone:716-332-2121
Mailing Address - Fax:716-332-2122
Practice Address - Street 1:600 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1151
Practice Address - Country:US
Practice Address - Phone:716-332-2121
Practice Address - Fax:716-332-2122
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188967207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2399862OtherGHI ,NY
NY000524228002OtherBC/BS WESTERN, NY
NY00010201102OtherUNIVERA HEALTHCARE HMO
NY2208450OtherINDEPENDENT HEATH HMO
NY01574336Medicaid
NY110241329Medicare PIN
NY01574336Medicaid