Provider Demographics
NPI:1477570356
Name:ENGEL, MURRAY (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 YORK AVE
Mailing Address - Street 2:HELMSLEY MEDICAL TOWER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1320 YORK AVE
Practice Address - Street 2:HELMSLEY MEDICAL TOWER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4800
Practice Address - Country:US
Practice Address - Phone:212-746-8137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1237962084N0400X
CT0187822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D02418Medicare UPIN
CT0583870OtherCIGNA
CT001187822Medicare ID - Type Unspecified
CT130000071Medicare ID - Type Unspecified
CT018782OtherCONNECTICARE
CT2V8003OtherHEALTH NET
D02418Medicare UPIN