Provider Demographics
NPI:1063503142
Name:MURPHY, MARIE LYND (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:LYND
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 WESTFALL RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2638
Mailing Address - Country:US
Mailing Address - Phone:585-244-9720
Mailing Address - Fax:585-244-9995
Practice Address - Street 1:919 WESTFALL RD
Practice Address - Street 2:BUILDING A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2638
Practice Address - Country:US
Practice Address - Phone:585-244-9720
Practice Address - Fax:585-244-9995
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174145-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
09571OtherBLUE CROSS/BLUE SHIELD
7573318OtherAETNA
P010174145OtherEXCELLUS
101231DLOtherPREFERRED CARE
000926101001OtherHEALTH NOW
NY01220268Medicaid
P010174145OtherEXCELLUS