Provider Demographics
NPI:1518414887
Name:MURRAY, TARHAN (LPN)
Entity Type:Individual
Prefix:
First Name:TARHAN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8700
Mailing Address - Country:US
Mailing Address - Phone:347-731-3140
Mailing Address - Fax:631-647-7409
Practice Address - Street 1:11 MAPLE CT
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8700
Practice Address - Country:US
Practice Address - Phone:347-731-3140
Practice Address - Fax:631-647-7409
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322168-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse