Provider Demographics
NPI:1508138132
Name:MURPHY, NOREEN (RDH)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2613
Mailing Address - Country:US
Mailing Address - Phone:631-360-4725
Mailing Address - Fax:631-360-4790
Practice Address - Street 1:883 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2613
Practice Address - Country:US
Practice Address - Phone:631-360-4725
Practice Address - Fax:631-360-4790
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022587-1124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist