Provider Demographics
NPI:1114186509
Name:MURRAY, ALICIA R (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:R
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:R
Other - Last Name:CZANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:75 S BROADWAY
Mailing Address - Street 2:STE 406
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4413
Mailing Address - Country:US
Mailing Address - Phone:917-881-6516
Mailing Address - Fax:347-296-3639
Practice Address - Street 1:75 S BROADWAY
Practice Address - Street 2:STE406
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4413
Practice Address - Country:US
Practice Address - Phone:917-881-6516
Practice Address - Fax:347-296-3639
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2470222084P0800X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine