Provider Demographics
NPI:1225374275
Name:MURRAY SPINE AND MUSCLE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MURRAY SPINE AND MUSCLE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-715-3587
Mailing Address - Street 1:481 SENECA AVE
Mailing Address - Street 2:3R
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-1636
Mailing Address - Country:US
Mailing Address - Phone:917-715-3587
Mailing Address - Fax:
Practice Address - Street 1:177 N 10TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-1776
Practice Address - Country:US
Practice Address - Phone:917-715-3587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty