Provider Demographics
NPI:1275572083
Name:MURRAY, JOYCE M (ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SCHERER BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2626
Mailing Address - Country:US
Mailing Address - Phone:516-233-1334
Mailing Address - Fax:516-216-1333
Practice Address - Street 1:140 SCHERER BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-2626
Practice Address - Country:US
Practice Address - Phone:516-233-1334
Practice Address - Fax:516-216-1333
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF 302465-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP112241410OtherMULTIPLAN
NY80314OtherUNICARE
NYMJ2467OtherATLANTIS
NY02049576Medicaid
NY2411707OtherUNITED HEALTH
NY13162Other1199
NY02049576Medicaid
NY13162Other1199